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We do not develop “one size fits all” plans. Instead, we implement and deliver customized value supported by quality service to meet your needs today, forecast for tomorrow, and plan for the future. That’s why Denex™ Dental is different.

Employers (3-99 Plans)

To locate a customizable plan, choose a group below.
3 to 99 – Offering tailored plans to fit your needs as you grow and evolve.

Preferred Provider Organization (PPO)
Outlook Vision – Discount Vision Plan
Denex™ Value – Dental Discount Plan

Preferred Provider Organization (PPO)
Our PPO Plan is specifically designed to give each member the “choice,” freedom and flexibility to visit any licensed provider. However, since we have negotiated discounted fees with our Network Providers, benefit amounts will generally be higher if members receive care In-Network. Our Network has both general dentists and specialists to provide services.

With a national network of over 70,000 participating providers, members enjoy the advantages of:
  High quality service from credentialed providers,
  Discounted fees for service,
  Providers complete and submit claim forms on your behalf.
  No balance billing.
  No referrals required to visit a specialist.

Denex™ Dental will pay a percentage of the charge by the Network Provider for each covered service, up to the actual charge. In-Network benefits are calculated based on the participating provider’s negotiated fee.

Out-of-Network benefits are calculated using either a Maximum Allowable Charge (based on fees paid to Network Providers in the geographic area where the expenses are incurred) or Reasonable and Customary Charge (as determined by the National Dental Advisory Service). Providers that are not part of the Network have not negotiated their fees with Denex Dental and will charge their usual and customary fees.

To ensure proper savings, members should visit an in-network provider. Or if you have any questions, contact our CCPs for more information.

Plan Designs

All group rates are guaranteed for 24 months

Eligible Employees	Annual Max	Orthodontia	Ortho Max*	Endo/Perio	UCR**	Deductible***
3-9	$1000	Required	$750	Type II or III	80th/90th	$25,$50,$75,$100
	$1500	Required	$750	Type II or III	80th/90th	$25,$50,$75,$100
	$2000	Required	$1000	Type II or III	80th/90th	$25,$50,$75,$100
	$5000	Required	$1000	Type II or III	80th/90th	$25,$50,$75,$100
10-24	$1000	Optional	$1000	Type II or III	80th/90th	$25,$50,$75,$100
	$1500	Optional	$1000	Type II or III	80th/90th	$25,$50,$75,$100
	$2000	Optional	$1500	Type II or III	80th/90th	$25,$50,$75,$100
	$5000	Optional	$2000	Type II or III	80th/90th	$25,$50,$75,$100
25-49	$1000	Optional	$1000	Type II or III	80th/90th	$25,$50,$75,$100
	$1500	Optional	$1000	Type II or III	80th/90th	$25,$50,$75,$100
	$2000	Optional	$1500	Type II or III	80th/90th	$25,$50,$75,$100
	$5000	Optional	$2000	Type II or III	80th/90th	$25,$50,$75,$100
50-99	$1000	Optional	$1000	Type II or III	80th/90th	$25,$50,$75,$100
	$1500	Optional	$1000	Type II or III	80th/90th	$25,$50,$75,$100
	$2000	Optional	$1500	Type II or III	80th/90th	$25,$50,$75,$100
	$5000	Optional	$2000	Type II or III	80th/90th	$25,$50,$75,$100

*Lifetime maximum
**UCR out of network reimbursement available for all plans.
***Individual deductible listed. Family deductible is 3x the individual.

Outlook Vision – Discount Vision Plan*
(Note: New groups as of 10/1/06 and renewals as of 11/1/06 have added Outlook Vision Plan)

All Denex™ Dental members are automatically enrolled in our Discount Vision Plan at no additional charge. Members save on eyewear and eye care services from participating vision centers.

Members receive:
  Savings 10% to 50% off the retail price of eyewear including prescription glasses, contact lenses, and accessories.
  Savings off standard fees on vision correction surgery (Laser/Lasik) at select locations where approved.
  Mail order contact lens replacement program that offers a 10% to 50% discount.
  Special discounts on eye exams at selected locations where approved.
  Free minor eye wear adjustments.

The Outlook Vision Network is comprised of over 11,000 national and regional providers such as Pearle Vision, Sears Optical, LensCrafters, JC Penny Optical, Eyemasters, independent optometrists or opticians, small and large retail centers, “one-hour” service optical centers, and many other eye care facilities. You can locate a participating vision center by using the search tool or by calling toll free at 1-866-433-6391.

Members simply take their Denex Dental ID Card to any participating vision center. Members pay the discounted amount directly to the provider at the time of purchase and walk away with discounted savings. The Discount Vision Plan is not insurance, so there’s no fuss, no hassle, and no confusion – just the value of substantial savings.

The Outlook Eyewear Guarantee:
  Highest Quality – All merchandise is covered by manufacturer’s warranty for materials and workmanship.
  Price – Once purchase is made, if a member finds the identical eyewear at a lower advertised price, the difference will be cheerfully refunded.
  Complete Satisfaction – If a member is not completely satisfied with their eyewear purchase from a participating vision center, it may be returned within 30 days for a full refund.

Contact our CCPs for approved selected locations.

Denex™ Value – Dental Discount Plan*
Our Denex Value Dental Discount Plan allows members to see any provider that participates in the Network and receive services at reduced, pre-negotiated discounts that average 20% to 50% off the provider’s standard fees. Members receive discounts from all participating providers, including:

  Orthodontists – Braces (for adolescents and adults)
  Periodontists – Gums
  Oral Surgeons – Wisdom Teeth
  Prosthodontists – Bridges and Dentures
  Pediatric Dentists – Child Treatment
  Endodontists – Root Canals
  Cosmetics – Veneers and tooth whitening

Denex Value is not insurance which makes using the plan much easier. There are no exclusions or limitations on procedures and members can use the plan as often as they like. Unlike traditional dental insurance, they’re are no administrative or claims forms and no red tape. Members are automatically accepted when they join.

Using Denex Value is easy. Members simply choose a participating provider and schedule an appointment. Members can locate a current list of participating providers by using the search feature on the website or by calling a customer service representative. Members show their ID Card and receive services at reduced, pre-negotiated discounts far below the provider’s standard fees.

* OUTLOOK Vision and Denex value are not insurance. They are discount plans. You are responsible for the full cost of any health care services purchased. You will receive discounts for medical services at certain health care providers who have contracted with the plan. Members have the right to cancel registration within a 30 period. This plan does not make payments directly to health care providers. A list of all plan providers within the prospective member's service area which includes their name, city & state, and medical specialty is available prior to purchase, upon request. Discounts for hospital services are not available. This plan is administered by Group Dental Service of Maryland, Inc. (GDS-MD), your Discount Medical Plan Organization, 111 Rockville Pike, Suite 950, Rockville, MD 20850, 866-433-6391, www.denexdental.com. The plan and its administrators have no liability for providing or guaranteeing service or the quality of service rendered.

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