Frequently Asked Questions


Claims can be mailed to:

Dominion Dental Services, Inc.
P.O. Box 1126
Elk Grove Village, IL 60009

ADA Claim Form

Yes, Select Plan (same as a DHMO) and Discount program subscribers and their dependents may receive care from different participating dental offices.

Access PPO subscribers do not need to choose a dental office and may receive their dental care from any licensed dentist.

You may select different dental facilities for various members within a household online or by calling a Dominion Member Services Specialist at 888-518-5338.

If a Select Plan (same as a DHMO) member wants to change his or her dental office, he or she may do so at any time by email, calling our Member Service Helpline (888-518-5338), completing a Change in Coverage Form, or writing to our administrative office. If notification is received by Dominion by the 20th of the month the change will be effective on the first of the following month. All outstanding bills with the current dental office MUST be paid before the change will be made effective. 

Access PPO subscribers do not need to choose an office and may receive their dental care from any licensed dentist.

One of Dominion’s primary goals is to provide the best possible access to participating dentists for our members. We have designated staff whose sole responsibility is to develop our dentist networks, and new dentists are continually being added. Our website and Member Services Department are the best source of information on network additions.

To request that your dentist be contacted about joining our networks, please
click here.

The Select Plan (same as a DHMO) and Discount program cover most pre-existing conditions, including coverage for missing teeth.  The Access PPO program may have certain restrictions, which are best described in the brochure and other distributed materials.

Participating Select Plan (same as a DHMO) network and Discount network dentists receive monthly reports to verify eligibility and coverage for subscribers.  They may also verify eligibility by contacting Dominion's Member Services Department.

Because Access PPO members may use any licensed dentist, most dentist offices will call Dominion's Member Services Department directly on the day of the appointment to verify eligibility.

All plan options cover dependents up to age 26.

Select Plan (same as a DHMO) and Discount program members simply get a referral from their general dentists.  The dentist will evaluate the member’s condition and refer them to a participating specialist as needed.

Access PPO subscribers may receive services from any licensed dentist, including specialists, without a referral from a general dentist.

Select Plan (same as a DHMO) subscribers are mailed two ID cards per family, a Description of Benefits and Member Copayments and a Certificate of Coverage that explains the plan in detail.

Subscribers who select the Discount program are mailed two ID cards per family, a Description of Services and Member Fees and a Certificate of Coverage that explains the program in detail.

Access PPO subscribers are also mailed two ID cards per family, along with a Coverage Schedule and a Group Insurance Certificate that explains the plan in detail.

Dominion's office hours are 8:00 a.m. to 6:00 p.m., Monday through Friday.  Dominion's member service hours are 7:30 a.m. to 6 p.m., Monday through Friday. After-hours assistance is available through the Plan’s IVR System and secure website.
 

If a Select Plan (same as a DHMO)1 member is temporarily more than 50 miles away from home and requires emergency treatment for the care of an injury, toothache or accident, they do not have to call their participating dentist. They may seek treatment from any dentist. Dominion will reimburse the member up to $100 (unlimited in the state of PA) for palliative treatment after submitting copies of their receipt to Dominion. Any member copayments that apply under the member’s Plan will be deducted from the amount of the claim.  

PPO/Indemnity subscribers may receive emergency dental services from any licensed dentist and file a claim in the normal fashion.

1 Same as a DHMO with fixed member copayments, no annual maximum dollar limits, no waiting periods, no deductibles, no pre-authorization paperwork or pre-treatment estimates and no claim forms or proof of loss (except in the case of out-of-area emergencies).