Provider Info

Dental Providers

Please see the Dental Procedure Codes and Plan Benefits to view the Plan's dental coverage details.

DENTAL BENEFITS

Benefits are for the Calendar Year-January 1, 2026-December 31, 2026

  • MEMBER, SPOUSE, DEPENDENT AGE 19 AND OLDER $1500.00 MAX
  • DEPENDENT CHILDREN THROUGH AGE 18-NO MAX
  • NO DEDUCTIBLE/WAITING PERIOD/MISSING TOOTH CLAUSE
  • PAYABLE ON PREP DATE
  • DENTAL CLAIMS IN COMBINATION WITH MEDICAL PROCEDURES MUST BE SUBMITTED TO THE FUND OFFICE

PREVENTATIVE:        90% OF U&C OR GUARDIAN FEE SCHEDULE

                                  ROUTINE ORAL EXAM, PROPHYLAXIS, FLUORIDE; NO AGE LIMIT (ALL PAID TWICE YEARLY); SPACE MAINTAINERS (18 & YOUNGER)

BASIC:                       85% OF U&C OR GUARDIAN FEE SCHEDULE

                                  RESTORATIVES, EXTRACTIONS, PERIODONTICS, ALL 4 QUADS MAY BE DONE AT THE SAME TIME; ENDODONTICS (WE DO NOT DOWN GRADE); CROWNS,              

                                  BITEWING X-RAYS (TWICE YEARLY); FULL MOUTH X-RAY (EVERY 36 MONTHS); SEALANTS (13 & UNDER)

MAJOR:                    50% OF U&C OR GUARDIAN FEE SCHEDULE

                                  BRIDGES, PARTIALS, DENTURES (REPLACEMENT EVERY 5 YEARS), AND IMPLANTS    

 

ORTHODONTIC BENEFITS

  • NO DEDUCTIBLE
  • NO AGE LIMIT
  • $2000.00 MAX
  • 50% AUTO MONTHLY

                                               

CLAIMS MAY BE SUBMITTED BY FAX OR MAIL TO:                                                                                                                                                              

NECA-IBEW WELFARE TRUST FUND

2120 HUBBARD AVENUE

DECATUR, IL 62526-2871   FAX: 217-875-1487                                                                      

WE DO NOT ACCEPT ELECTRONIC CLAIMS AT THIS TIME