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Unitedconcordia docsinddisableddisabled dependent certification form - United Concordia

Unitedconcordia docsinddisableddisabled dependent certification form - United Concordia 2025

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The 'Disabled Dependent Certification' form is designed to assess whether an adult dependent child qualifies for continued health coverage after reaching the age limit due to disability. It outlines the eligibility criteria, including the requirement that the dependent must have been disabled before reaching the limiting age and be incapable of self-sustaining employment. The document provides detailed instructions for completing the form, including necessary signatures from both the subscriber and a licensed physician, as well as supporting documentation such as Social Security Disability Insurance (SSDI) award letters or court orders for legal guardianship.

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How to read EOB insurance?

The explanation of benefits lists the cost of your care, and how much your health insurance company will pay. Provider Charges is the amount your provider bills for your visit. Allowed Charges is the amount your provider will be paid. Paid by Insurer is the amount your health plan will pay to your provider.

How to read United Concordia EOB?

How do I read an Explanation of Benefits Claim information: Includes your member and patient name, ID number, claim number, and dentist name. Service and coverage information: Identifies dates of service, charges, what United Concordia has paid, discounts, deductions and any expenses youll need to cover.

Is United Concordia the same as Tricare?

3 cleanings per calendar year on the high-option plan. unlimited annual maximum in the high-option plan (excluding orthodontics and implant services) and $1,500 annual maximum in the standard option (excluding orthodontics) no annual deductibles and no waiting periods.

What is the timely filing limit for United Concordia Dental?

Claims should be submitted as soon as possible after treatment, preferably within 30 days. Claims submitted more than 12 months after the month in which the service was provided will be denied. ADSMs submitting their own claims should send it to: United Concordia Companies, Inc.

How much does United Concordia pay for dental implants?

2024 Plan Benefits Summary 2025 Plan Year - Covered Dental ServicesUnited Concordia Dental Pays2 High Option Plan Dental Implant Services Annual Maximum (per covered person) $2,500 $2,500 Lifetime Orthodontic Maximum (per covered person) $3,000 $3,000 Dental Accident Lifetime Maximum (per covered person) $2,000 $2,00033 more rows