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MSU Human Resources >> Benefits >> Dental Coverage - FAQs

Dental Coverage - FAQs

Check this page for answers to questions you may have about dental coverage.



How are dependents added or dropped from my dental plan? 
You may add or delete dependents during the plan year by enrolling online through our Benefits Enrollment/Changes online enrollment system for the following qualifying life events:

Changes must be made within 30 days of the event for the following:

  • Marriage
  • Birth of a new baby, adoptions or legal guardianship
  • Involuntary loss of coverage through a non-MSU plan
  • Divorce
  • Changes in work assignment (i.e., going from a temporary position to a full-time position)

Changes must be made within 60 days of the event for the following:

  • New hire
Documentation such as birth certificates, marriage certificate, Other Eligible Individual (OEI) agreements, divorce decree must be received within 7 days of making the change online.

My dentist is not located in Michigan, how do I file a claim?
Aetna - Aetna is a dental maintenance organization (DMO), therefore you must see a primary care dentist in their provider network.  Therefore, there are no claim forms to be submitted.
Delta Dental
- If your dentist is not located in Michigan or if your dentist cannot provide you with a claim form, you may obtain a claim form from Delta Dental Plan of Michigan. Claims, adjustment requests and completed information requests should be mailed to Delta Dental, P.O. Box 9085, Farmington Hills, MI 48333-9085.

I am the policyholder, am I eligible for the orthodontia benefit?
Aetna offers orthodontic benefits to children and adults. Please see the Aetna Brochure for copay amounts.
Delta Dental
Plan pays a lifetime maximum of $600 for orthodontic benefits for you and each of your eligible dependents, provided you or your eligible dependent is under age 19.     
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I missed this year's open enrollment period. How can I change dental plan carriers? Can I still add my spouse/dependents to my policy?
To change dental carriers you must wait for the next open enrollment period.  If dependents are newly acquired (marriage, birth, adoption, etc.), you may add them to your dental plan within 30 days through our Benefits Enrollment/Changes online enrollment system. Otherwise you must wait for the next open enrollment period.

Who is eligible as a dependent on my dental policies?
Eligible dependents include your legal spouse/OEI and children living in your household.
Stepchildren, legally-adopted children and foster children (through the age of 18) are eligible dependents.
 
Note:
Dependent children may be covered until the end of the calendar year they reach age 23 for dental.
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Who do I call if I have a concern about a dental claim?
Aetna: 1-877-238-6200
Delta Dental Plan of Michigan: 1-800-524-0149
I am moving out of the area. Can I change my dental carrier?
If you are covered under Aetna, you may change to Delta Dental Plan of Michigan when moving out of the service area.


Can I add my grandchild to my dental policy?
Yes, under the following conditions:
 
Guardianship:
Provide legal/court documents of guardianship within 30 days of such guardianship or during an open enrollment period.

IRS Dependent:
If the birth mother/father and child are your IRS dependents and are living in your household, you may add the grandchild within 30 days of birth or during an open enrollment period. An Affidavit of Dependency required.

Principal Support:
A notarized statement indicating the reason for principal support is required.                                         
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What is COBRA and how do I receive information on it?

Under the Consolidated Omnibus Budget Reconciliation Act of 1986,

COBRA, if an employee and/or their eligible dependents involuntarily lose health and/or dental coverage through MSU (i.e., termination of employment, death of employee or retiree, dependent marriage, termination of the OEI relationship, divorce/separation, etc.), notification of COBRA

rights will be sent by MSU Human Resources Benefits. A completed election form must be returned to the MSU Human Resources Benefits within 60 days from the date of notification or loss of coverage, whichever is later.


I enrolled for dental benefits last month. When will I receive my ID cards?

Aetna: 

Once you have enrolled for your dental benefits, please contact Aetna at 1-877-238-6200 to select your primary care dentist.  You must choose a primary care dentist before an ID card will be mailed to you.

Delta Dental Plan of Michigan:

There is no identification card for dental coverage.

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