Dental

Dental Benefit Overview

Most types of dental services are covered.  Dental services are divided into three parts:

• Part I – Preventative Dentistry
• Part II – Restorative Dentistry
• Part III – Major Dentistry

See the Summary of Benefits in the Health & Welfare Summary Plan Description (H&W-SPD) for a list of covered services. Co-payment rates will vary depending which Part the service is categorized as, and which Plan you are enrolled. Your collective bargaining agreement or special agreement determines which Plan you are in.

You may review a summary of the deductible, maximums, and co-payment rates for your plan:

• Plan 500 (includes orthodontic coverage for eligible dependent children)
• Plan 601 (includes orthodontic coverage for eligible dependent children)
• Plan 602
• Plan 603 (includes orthodontic coverage for eligible dependent children)
• Plan 604
• Plan 605
• Plan 606 (includes orthodontic coverage for eligible dependent children)

Finding a Dentist

There is no preferred provider for dental benefits. You may use any dental provider without an out-of-network penalty. If you need help finding a dentist, check out this article from WebMD with tips from the American Dental Association.

Filing a Claim

If your dentist does not bill insurance, you will need to submit your receipts along with a Medical Dental Reimbursement Request Form that includes:

• Date of service
• Dental codes
• Provider’s name and Tax ID number
• Participant’s employee ID number
• Patient’s name and Date of Birth
• Notation that payment has been received or a receipt

Email, Fax or Mail your completed claim form(s) to the Administrative Office:

Email: aetfhw@aetf.com

Fax: (907) 278-7576

Mail: Alaska Electrical Trust Funds
Attn: Dental Claims
701 E. Tudor, Suite 200
Anchorage, AK 99503

Note: To ensure prompt payment, make sure the Annual Medical / Dental Update Form on file with the Admin Office is up to date for the person who received the care. A reimbursement check will be mailed directly to you when the claim is processed.