Ameriplan Dental F.A.Q.S.

Who is Ameriplan®?
AmeriPlan® is a Nationwide Discount Medical Care Organization. We arrange for our members to have access to physicians, ancillary services, hospital advocacy, dental, vision, prescription drug and chiropractic providers who have agreed to offer their services at negotiated discounts off their usual and customary fees.

How do I locate an AmeriPlan Health® provider?
There are three ways to locate a provider. Instructions are included in the Member Information Guide that you will receive with your identification cards.

• A directory of providers near your home is included in your Member Information Guide. LOCATE AN AMERIPLAN PROVIDER HERE

  ·         Call AmeriPlan Health® customer service at the listed number in your guide.

Are ongoing dental/medical problems (conditions) accepted?
Since AmeriPlan® is NOT INSURANCE OR A HEALTH ORGANIZATION, all ongoing dental/medical problems (conditions) are accepted except for contracted treatment plans including orthodontic treatment in progress.

Do I have to meet a minimum payment amount before receiving any savings?
No. You will receive instant savings, there is no paperwork to fill out and there are no limits on the number of visits to AmeriPlan® network providers.

Will AmeriPlan® Health Medical Program (CDHC) have all specialists and ancillary services?
We will make every effort to contract with as many specialists and ancillary providers as possible.

Can the Medical Program (CDHC) be used with Medicare/Medicaid?
No. Medicare does not allow their providers to charge a Medicare patient a different price.

Are doctors reimbursed by AmeriPlan® for their services?
No. As with all of our health plans, the provider receives the full discounted fee from the member at the time services are rendered.

Does this Medical Program (CDHC) coordinate with regular insurance plans?
Yes it can, but it is always at the Doctor’s discretion to accept both. As with our Dental Program (DVPC) , your insurance should always be the primary payment form.

Can anyone join the Medical Program (CDHC)?
Yes.

Can members downgrade from AmeriPlan Health® to the Discount dental Program (DVPC)?
Yes.

If the doctor’s office has lab facilities, can these be utilized rather than having to go to another lab?
Yes. The lab services will be billed up to a 40% discount.

Do members receive a Fee Schedule?
No. Fees will vary by zip code.

Do members receive a separate card for the Medical Program (CDHC)?
Yes. Approved Individual members receive two (2) cards; one AmeriPlan® Health (CDHC) ID Card and one Dental Program (DVPC) card. Approved household members receive four (4) cards; two AmeriPlan Health® (CDHC) ID Cards and two Dental Program (DVPC) cards.

Are there benefits for emergency services?
Yes. Emergency services may or may not be contracted with the Medical Program (CDHC). Depending on the extent of the charges, these services may be eligible for the Patient Advocacy Benefit.

What is the difference between a limited patient visit, intermediate visit and an extended visit?
A limited patient visit is one where the member is seen for a problem focused visit with minor problems (Physician time 10 mins.), i.e., recheck for a cold. An intermediate patient visit is more involved with low to moderate severity, and will require a longer visit with the provider, i.e., sore throat. An extended patient visit is where the member is having a physical examination or consultation for a chronic illness or consideration for surgery, etc. (Moderate to high severity)

Will maternity be included?
All medical needs are included as long as we have contracted providers offering this service.

Will the member’s privacy be protected?
AmeriPlan® is compliant with all HIPPA regulations.

Does medical include hearing tests and hearing aids?
Yes. Hearing Services will be included under our Ancillary Services providers.

Can I purchase the Medical Program (CDHC) without the Dental Program (DVPC) included?
No, presently the Medical Program (CDHC) is only sold as a unit with Dental Program (DVPC). Exception, Florida Residents Only may purchase DVPC separately.

Is there a waiting period for new members?
No. Members can use the program as soon as they receive their e-mail confirmation. membership cards will be mailed to you in 7 to 10 days .

Can a member pay with cash, personal check or personal credit card for services?
Yes.

How does the Hospital Advocacy Program work?
The Hospital Advocacy Program negotiates with the hospital based on the member’s ability to pay.

Does the member have a choice of which hospital will be used?
Yes. The Patient Advocate will negotiate with any hospital of the member’s choice.

How much discount do members get on dental fees?
Members can save 20% – 65% on all restorative and cosmetic work (fillings, crowns, braces, etc.) and up to 80% on preventative work (teeth cleaning, x-rays, etc.) performed by a general dentist. Specialist fees are discounted anywhere from 15% – 25%

How much is the Discount Dental Plans (DVPC) membership fee?
Individual plan is $14.95 per month, An entire household membership is $19.95 per month! Family membership includes all residents in the household including parents, children, relatives, significant others, and all permanent residents of the household!

How much more do the Pharmacy, Vision, and Chiropractic Benefits cost?
The Prescription Drug, Vision, and Chiropractic Care are included at no extra cost with the Dental Program (DVPC) Membership.