See the Agreement for Complete Reimbursement Information
Dental: Members enrolled in the Health Enhancement Program (HEP) are entitled to two annual dental cleanings at no cost. Some members chose dentists who are not in the network and those members may have been balance billed. There is now a process for getting reimbursed for those costs. (See the Agreement for the reimbursement process.) Effective July 1, 2012, HEP members must use network dentists to avoid balance billing.
Vision: HEP members are entitled to one vision screening every two years. Some members were erroneously charged a co-pay for their first vision screening between Oct. 1, 2011-Sept. 1, 2012. The provider should reimburse these members. (See the Agreement for the reimbursement process.)
jrojas September 6th, 2012
Posted In: SEBAC