Your Seagate benefits include a choice of two dental plans—Basic and Enhanced. Both plans are administered by Anthem Dental. Dental coverage is optional; you must enroll to have coverage. If you enroll, you can expect to receive an Anthem Dental ID card.
When you use Anthem Dental Complete network dentists, your coverage levels will be higher and your out-of-pocket costs lower. Plus, in-network dentists will file your claim for you; if you use a non-Anthem Dental provider, you’ll need to pay up front, then submit a claim form with your receipt to be reimbursed for your share of the cost. You’ll always pay more out of network.
Need to contact Anthem Dental?
See the back of your ID card for who to call, write or email.
The Plans at a Glance
The dental benefits you receive depend on the plan you select. This table summarizes key differences of the two plans, when you use Anthem Dental PPO providers.
If you’re covered by the Enhanced Plan and see a dentist who is not in the Anthem Dental PPO network, you’ll pay about 10% more for services.
| Plan Features | Basic | Enhanced |
|---|---|---|
| Annual Benefit Maximum | $1,250 | $2,500 |
| Annual Deductible: employee only | $50 | $50 |
| Annual Deductible: employee + dependents | $150 | $150 |
| Preventive Care | You pay $0 | You pay $0 |
| Basic Services (fillings and simple extractions) | You pay $0 | You pay 10% |
| Major Services (bridges, inlays, crowns, dentures) | You pay 100% | You pay 40% |
| Root Canals | You pay 100% | You pay 10% |
| Gum Treatment | You pay 100% | You pay 10% |
| Oral Surgery (i.e. wisdom teeth extraction) | You pay 100% | You pay 10% |
| Orthodontia: adults and dependent children | You pay 100% | You pay 40% |
| Lifetime Orthodontia Maximum | Not covered | $2,500* |
Plan Costs
The cost of your dental insurance is automatically deducted from your biweekly paycheck. Your per-paycheck cost depends on the plan you select and the number of people you cover.
| Basic | Enhanced | |
|---|---|---|
| Employee Only | $0 | $6.42 |
| Employee + Spouse/ Domestic Partner | $0 | $14.95 |
| Employee + Child(ren) | $0 | $12.63 |
| Employee + Family | $0 | $21.15 |
Using Your Dental Plan
You'll save money when you visit a dentist in your plan network because Anthem and the dentist have agreed on pricing for covered services. Dentists who are not in your plan network have not agreed to pricing, and may bill you for the difference between what Anthem pays them and what the dentist usually charges.
To find out if your dentist participates in the Anthem Dental Complete network, go to anthem.com/ca/find-care.
If your dentist does not participate, you can select a new, in-network Anthem provider or continue using your current dental provider at the out-of-network costs for services.
Ready to Use Your Dental Benefits?
- Choose a dentist from the network.
- Make an appointment.
- Show the office staff your member ID card.
- Pay any deductible or copay that is part of your plan.
- If you use an out-of-network dentist, you will be expected to pay the full cost, and, if the services you receive are covered, you’ll need to submit a claim form and receipt to Anthem Dental for reimbursement.
Powerful and Easily Accessible Member Tools
Ask a Hygienist: Dental members can simply email their dental questions to a team of licensed dental professionals who in turn will respond in about 24 hours.
Dental Health Risk Assessment: You can better understand your oral health and your risk factors for tooth decay, gum disease and oral cancer with this easy-to-use online tool.
Dental Care Cost Estimator: Anthem offers a user-friendly, web-based tool that provides estimates on common dental procedures and treatments when using a network dentist.
Mobile App: With Anthem's mobile app, you can find a network dentist and view your claims.