When a dentist’s charges for a course of treatment will amount to $750 or more, dental services must be reviewed by the Fund before treatment is rendered. In such instances, the member’s dentist is required to submit x-rays and treatment recommendations to the Fund for review by the Funds Consulting Dentist. The covered member’s dentist may proceed to render dental services as soon as the proposed course of treatment has been reviewed by the Fund. The Fund reserves the right to deny claims amounting to $750 or more which have not been reviewed by the Fund’s Consulting Dentist prior to beginning treatment. Members may obtain dental forms by calling (718) 822-2098.
Submitted by:
Kevin J. Gallagher
Welfare Fund Administrator