Your dental premium is included in your premium payment to UPMC Health Plan. For questions, please contact UPMC Individual Advantage at 866.353.3598.
Dominion's office hours are 8:00 a.m. to 6:00 p.m. (EST), Monday through Friday. Member Services Specialists are available from 7:30 a.m. to 6:00 p.m. (EST), Monday through Friday. After business hours, members have access to certain functions via our Interactive Voice Response (IVR) system and may leave a message.
To reach a live representative after 6:00 p.m., Monday through Friday, you may contact UPMC’s Member Services Department at 855.489.3494.
Plan 703x-tk covers most pre-existing conditions, including coverage for missing teeth. The Choice PPO program may have certain restrictions, which are best described in the brochure and other distributed materials.
If a Plan 703x-tk member is temporarily more than 50 miles away from home and requires emergency treatment for the care of an injury, toothache or accident, they do not have to call their participating dentist. They may seek treatment from any dentist. Dominion will reimburse the member up to $100 (unlimited in the state of PA) for palliative treatment after submitting copies of their receipt to Dominion. Any member copayments that apply under the member’s Plan will be deducted from the amount of the claim.
Plan 703x-tk subscribers are mailed two ID cards per family, a Description of Benefits and Member Copayments and a that explains the plan in detail.
Choice PPO subscribers are also mailed two ID cards per family, along with a Coverage Schedule and a Group Insurance Certificate that explains the plan in detail.
Plan 703x-tk members simply get a referral from their general dentists. The dentist will evaluate the member’s condition and refer them to a participating specialist as needed.
Choice PPO plan subscribers may receive services from any licensed dentist, including specialists, without a referral from a general dentist.
Plan 703x-tk members should refer to their Description of Benefits and Member Copayments for information on covered benefits. Choice PPO Plan members should refer to their Coverage Schedule for information on covered benefits.
You may also contact Dominion's Member Services department at 855.337.8762.
Yes, Plan 703x-tk subscribers and their dependents may receive care from different participating dental offices. You may select different dental facilities for various members within a household online or by calling a Member Services Specialist at 855.337.8762.
Note that Choice PPO Plan subscribers do not need to choose a dental office and may receive their dental care from any licensed dentist. However, for maximum benefits at the lowest cost, members should visit a participating Dominion dentist.
One of our primary goals is to provide the best possible access to participating dentists for our members. We have designated staff whose sole responsibility is to develop our dentist networks, and new dentists are continually being added. Our website and Member Services Department are the best source of information on network additions.
To request that your dentist be contacted about joining our networks, please click here.