Dental
Smile with confidence!
Benefit Summary
The Carewell SEIU 503 Dental benefit provides coverage that pays for most basic dental services at no cost to you and also pays a portion of other more complex dental services.
Carewell SEIU 503 Dental benefits are insured by Kaiser Permanente.
If you use a dentist who is in Kaiser’s network, you will not have to pay for a dental office visit, preventive care (like teeth cleaning), or minor restoration services (like routine fillings or simple extractions). Other dental services have coinsurances that require you to pay for a portion of the cost.
If you do not live in the Kaiser service area (in other words, if you do not live near a Kaiser facility), you can visit a dentist on Kaiser’s list of preferred providers.
Your 2021 Kaiser dental plan got even better! Starting January 1, 2021, your plan will cover more of the costs for many services, and your share of the bill will be lower for:
- Oral surgery (surgical extractions)
- Root canal therapy
- Crowns and bridges
- Prosthetic services (dentures, rebases and relines)
- Implants
For more details, please see the Kaiser Dental Benefits Summaries (in-area and out-of-area) below in the Contact Information and Resources section.
NEW! Carewell SEIU 503 now provides reimbursements for out-of-pocket expenses (coinsurance and copays) for services covered under your 2021 Kaiser Permanente dental plan.
Important Things to Know
- This coverage is dental insurance only, not medical insurance.
- Once you are eligible, you will have coverage through a Kaiser Permanente dental plan. The only thing you may need to do is update the Benefits Administrative Office and the State with your name, gender, Social Security Number and current address.
- The Carewell SEIU 503 Dental benefit is premium-free — there is no monthly bill for you to pay.
- You cannot use the Benefit Convenience Card to pay for any expense related to your dental plan.
Check your Eligibility for Dental Benefits
To find out your eligibility instantly, answer a few questions on the eligibility questionnaire.
Eligibility Requirements
To be eligible for Carewell SEIU 503 Dental, Vision + Hearing, and Employee Assistance Program benefits you must:
Work 40 or more hours a month of eligible working hours — also known as bargaining unit hours — for two months in a row. There is then a one-month waiting period while your hours are reported to the Benefits Administrative Office.
Turn in your timesheets and/or payroll vouchers on a regular basis
Have your name, gender, Social Security Number, birthdate and current address on file with the Benefits Administrative Office. Click here to update your information now.
Eligible hours
The number of eligible working hours you need to qualify for Carewell benefits are the work hours paid by Acumen, DHS and/or PPL on behalf of your consumer.
Losing eligibility
If you go two months in a row without working (or if zero hours are reported), after a grace period of one month you will no longer be eligible for Dental, Vision + Hearing, and Employee Assistance Program benefits. To regain eligibility for Carewell SEIU 503 benefits, you must complete the steps above.
If you have questions about your eligibility please call the Benefits Administrative Office at 1-844-507-7554, option 3, option 2
Enrollment
Dental, Vision + Hearing, and Employee Assistance Program benefits will be set up automatically for you once you:
- meet the Eligibility Requirements explained above;
- update the Benefits Administrative Office and the State with your name, gender, Social Security Number and current address.
Enrollment Confirmation
If your medical insurance is through Kaiser
You will not get a separate Kaiser Permanente dental card if you reside in the Kaiser service area and you currently have Kaiser Permanente medical insurance. You will have one card for both medical and dental insurance.
Inside the Kaiser service area (HMO plan)
If your medical insurance is not through Kaiser
You will receive a Kaiser Permanente dental card in the mail if you do not have medical insurance with Kaiser. Note that this card is only for dental insurance and not for any other benefits.
Outside the Kaiser service area (PPO plan)
If you have questions about your dental benefits you can call Kaiser Permanente Member Services at 1-800-813-2000.
Benefit Details
Use This Benefit
Make an appointment
Be sure to confirm that your provider is in-network before seeking services and carefully review the benefit summary for information about possible out-of-pocket expenses like copays and coinsurances. Carewell SEIU 503 does not reimburse you for additional costs and you cannot use the Benefit Convenience Card for dental expenses, so check with your provider about procedures that are not fully covered.
Find a dentist
Inside the Kaiser service area
To find a dentist in the Kaiser service area go to Kaiser Permanente’s website kp.org/dental/nw or call 1-800-813-2000.
Outside the Kaiser service area
To find a participating dentist, go to kp.org/dental/nw/ppo or call 1-800-813-2000.
Keep This Benefit
You do not need to reapply or re-enroll — as long as you do not go two months in a row without working (or having zero hours reported), you will remain eligible for Dental, Vision + Hearing, and Employee Assistance Program benefits. You will not receive a new card every year.
Loss of eligibility
If you go two calendar months in a row with no eligible working hours (or if zero hours are reported), after a grace period of one calendar month you will no longer be eligible for Dental, Vision + Hearing, and Employee Assistance Program benefits.
If you lose eligibility, you can enroll into COBRA continuation coverage. Contact the Benefits Administrative Office for more information
Opt-out
If you would like to opt out of Dental, Vision + Hearing, and Employee Assistance Program benefits you can complete the waiver form.
Benefits Waiver Form (Digital)
Contact Information and Resources
Benefits Administration Office
1-844-507-7554, option 3, option 2
Reasons to contact the Benefits Administrative Office:
- Questions about eligibility for this benefit
- You did not receive your dental card
- Kaiser cannot find you in their system
- To find out if you are inside or outside the Kaiser service area
Kaiser Permanente Dental Customer Service
1-800-813-2000
Reasons to contact Kaiser Permanente Dental Customer Service:
- Questions about which dentists you can go to
- Questions about costs for dental services
- You need a new dental card
- Schedule a dental appointment
Frequently Asked Questions
Read common questions about the Carewell Dental benefit. See the FAQs page for more information.
Do I have options other than Kaiser Permanente Dental?
Carewell SEIU 503 does not offer other options for your Dental coverage. However, if you reside outside of the Kaiser Service Area, you’ll be enrolled into Kaiser Permanente’s Dental Choice PPO plan. Under the KP Dental Choice PPO you will be able to visit any licensed dentist. However, you will pay less if you visit a dentist that participates in Kaiser’s PPO network. To confirm whether you reside inside or outside of the Kaiser Service Area, contact the Benefits Administrative Office at 1-844-507-7554, option 3 then option 2.
I already have a dental plan. Can I have two?
For questions regarding coordination of benefits, please contact Kaiser Permanente Customer Service.
I already have a dentist that I like. Can I keep going to this dentist?
If you reside outside of the Kaiser service area and have a specific provider who is not in-network, you can ask your dentist if they would be willing to get credentialed with Kaiser Permanente so they can become part of the network.
If you reside inside the Kaiser service area you will not receive coverage for any services performed by an out-of-network dentist.
Can I add my spouse or other family members?
No. Carewell SEIU 503 benefits are available only to eligible homecare and personal support workers and personal care attendants.