COVID-19 (Coronavirus): Notices related to COVID-19 for members, groups and brokers – READ MORE.
Below is a list of frequently asked questions and the responses for our groups in regard to their dental plan and members during the COVID-19 pandemic.
The client group determines eligibility for members. If they keep furloughed employees covered, but in a different location like COBRA, then coverage continues. If they terminate the benefits for the employee, then they are termed, but TruAssure can waive a waiting period if the employee benefits are reinstated later.
This is ultimately the group’s decision since they send us the eligibility. We would normally expect furloughed or laid off employees to be in COBRA to meet not only our contract guidelines, but also those of ERISA. However, with the current situation, we want to help facilitate client groups keeping benefits for their employees. At this time, we will allow the group to choose the classification to keep their employees active or move them to COBRA.
We are not offering premium holidays.
TruAssure is not extending grace periods for receipt of premium payments.
Yes, TruAssure allows for a limited exam only and members can receive teledentistry services from any dentist. TruAssure also has partnered with TeleDentistry.com to offer an alternative method for TruAssure members who have a dental emergency and don’t have an established dentist or who are experiencing an after-hour dental issue to access 24/7 virtual dental care. Learn more.
There will be no issue; we will administer the client the same whether employees are sent as active or COBRA.
Yes. Eligibility is determined by the group, and as a result, we can waive the 30 hour per week requirement for benefits for existing full-time employees.
We don’t have plans to change any benefit limitations (e.g., annual max, deductible, frequency) at this time. However, we do have some flexibility to modify eligibility if necessary. For example, waive waiting periods for returning members.
Providers and members have 15 months from treatment date to submit a claim. We are extremely hopeful that COVID-19 will not delay claim submittals past this standard 15-month filing time. However, if a member or provider needs an extension on a claim due to this national emergency, we will handle these on appeal as needed.
Yes. Enrollment additions, but not terminations, due to COVID-19 will be allowed as a qualified life event.
Please contact your TruAssure sales executive or account manager with questions specific to your group. We are here for you during these challenging times.
Need a dentist near home, work or your kids' school? With one of the largest networks in the country, we make it easy to find a dentist who fits your location and your schedule.
* All TruAssure dental plans, other than Basic and Preferred dental plans, are offered in association with the DenteMax Plus dental network arrangement, which includes participating dentists from the DenteMax, United Concordia and Connection dental networks. TruAssure Basic and Preferred dental plans for both group and individual members are offered in association with the DenteMax dental network.
Whether you are looking for a claim form or application, TruAssure makes it easy to find what you need.