Welcome to |
We are located at: | 6950 146th Street W Suite 114 Apple Valley, MN 55124 |
Phone: | (952) 432-4033 |
Get information about DCUE Dental below. You may also email: dental@dcue.org with any questions |
Out of the Office- Wednesday, Oct 9thOffice Closed:October 16th at Noon October 17th & 18th
Office closed at Noon on Thursday, October 31st for 2023-24 Claim Deadline General Office HoursM: 7 am - 1:30 pm T: 8:30 am - 4:30 pm W: 7 am - 4:30 pm Th: 7 am - 1:30 pm F: 8:30 am - 4:30 pm We do have flexible schedules based on work flow. Please leave us a message or email dental@dcue.org and we will get back to you as soon as we can. Please leave a message if you would like to schedule a time to meet outside of general office hours.
We are processing 2 different plan years of claims at this time. We strive to have your claim reimbursed and a check to you within 2 weeks, please cash your checks in a timely manner. Thank you! Claims can be mailed via US Mail, District Mail or Dropped off at our office (drop-box attached to the outside of building if we are closed). Returned claims for additional documenation needed for processing will be returned to your school listed. |
Open Enrollment window for DCUE Dental is August 1 - June 1
Every Active Member who would like to receive reimbursement benefit for the plan year needs to complete the online enrollment. This is an annual requirement.
DCUE Dental Plan Year: September 1 - August 31
ENROLLMENT DEADLINE is a hard deadline.
Claims received by an individual who has not enrolled will be denied.
There is not an option to appeal a claim denial based on lack of enrollment.
You can check your enrollment status by logging into your Dental Members tab and looking for a green thumbs up or a red thumbs down alongside the Open Enrollment picture.
Log into your Dental Members tab here
2023-24 plan year ended August 31, 2024
Deadline for filing 2023-24 Plan Year Claims is Noon on Thursday, October 31, 2024.
This deadline is for:
Dental claims with date of treatment on September 1, 2023, through August 31, 2024 and/or
Orthodontic payments made on September 1, 2023, through August 31, 2024
These claims need to be in the DCUE office by noon on Thursday, October 31, 2024
Due to auditing, this is an ABSOLUTE DEADLINE. Even if you have primary insurance, you must meet the deadline listed above. We cannot process 2023-24 plan year claims after this date. ANY claims received after processing on October 31st will be denied and returned.
In-House Dental Plan Fees of any type/design/dollar amount provided by your Dental Office are no longer considered eligible for reimbursement by DCUE Dental.
On May 6, 2024 The Dental Board of Trustees voted and approved to deny reimbursement for the purchase cost incurred of an In-House Dental Plan given by a Dental Provider.
This change only effects a small percentage of Members who have purchased a certain type of In-House Dental Plan.
If you have purchased an In-House Plan and you have been reimbursed half of the fee already be aware that the second half of the fee will not be eligible if the date of service is on September 1, 2024 or later.
Existing In-House Plan holders will not be "grand-fathered" in for reimbursement after September 1, 2024.
If you have purchased an In-House Plan that gives you multiple preventative care services at zero cost after the plan fee this change does effect you. If you have any questions about the current or previous plans you have purchased please call our office to review your situation. Each In-House plan scenario is looked at individually as all of these plans are slightly different from one another. These existing members do not have anyway to be tracked and therefore DCUE Dental does not have a way to contact each individual effected by this change.
In-House Dental Plans are designed for individuals who do not have any dental benefit coverage. However based on your individual dental needs purchasing a plan from your dental provider may still be of financial benefit. Cost you incur beyond the plan fee is eligible to submit for reimbursement.
DCUE Dental receives a listing from the District Office of your employment and eligibility for DCUE Dental Reimbursement.
You will receive a Welcome Email from DCUE Dental about completing your online enrollment. You can not access the system to enroll until you have received this email from DCUE Dental.
Welcome emails will start to go out after August 1, 2024.
Due to delayed communication you may not receive information about enrollment right after you are hired. Please reach out if you have not heard from DCUE Dental by October 1, 2024.
You must complete the Online Enrollment to get signed up and receive reimbursement for your dental expenses.
New hire/member dental coverage begins at the start of the new plan year; September 1. If you are hired after September 1, your dental coverage begins when the District begins to cover your premium and you have enrolled.
Individuals up to age 26 can receive $2000 towards orthodontic treatment. The $2000 benefit is separate money from the dental benefit an individual can receive, it is reimbursed at a 100% match to your payment made and is a lifetime maximum.
The Orthodontic benefit will end the last day of the month, which you or your dependent turns age 26.
Orthodontic claims are based on date of payment for processing purposes and must be received within the appropriate plan year to receive reimbursement.
The plan year runs from September 1st – August 31st
Dental treatment claims are processed based on Date of Treatment, Orthodontic claims are processed based on Date of Payment. Be sure to submit your claims within the appropriate plan year and time guidelines. For more plan details review here.
2023-2024 Plan Year: September 1, 2023-August 31, 2024
2024-2025 Plan Year: September 1, 2024-August 31, 2025
Claim forms, with supporting documentation, can be sent to the DCUE Dental office through District Mail, US Mail or dropped off.
Claim forms should be completed in full by the member.
Supporting documentaiton must include: Provider Name & Address, Patient Name, Date of Service completed, Code & Description of Services Completed, Charges for services, Payment made via cash, check, etc., Date & Amount of Payment, payment must equal charges, please look at the amounts on your statement to make sure they balance.
If you have insurance involved with your claim submission you are required to send a copy of the insurance Explanation of Benefits (EOB) as part of your supporting documentation.
If there is a Section of your claim form that is incomplete and/or supporting documentation details that are missing your claim will be returned with a slip requesting what is required.
During the school year claims are returned to your school mailbox via District Mail, during summer they will be mailed to your home address on file.
To help avoid claim returns be sure you are including a payment receipt with your claim submission.
The Plan reimburses the Member directly; therefore your services need to be paid for prior to you being reimbursed.
Payment(s) must match up to the total charges listed for a specific date of treatment or the Patient Responsibility amount, if other insurance is involved. Services must be paid for in full prior to being reimbursed. Contact DCUE Dental for special circumstances such as payment plans for large dollar treatments.
Proof of Payment can be a computer statement or a separate receipt. Details of your payment should include dollar amount of payment, how payment was made, date payment was made and for which patient payment applies to. We do not accept “paid” stamped or handwritten on the statement and we do not accept a copy of your check.
To help avoid Late Penalties and Claim Denials please be sure you are submitting your claims in a timely manner.
Dental claims are processed based on Date of Treatment.
Orthodontic claims are processed based on Date of Payment.
Claims should be submitted within 60 days from the date of treatment. If claims are received after 60 days from the date of treatment they are subject to a 20% penalty. If there is primary insurance involved you have 90 days from the date of treatment to get your claims in before receiving a late penalty. Orthodontic claims will not receive late penalties, but they must be received within the appropriate plan year.
Contact DCUE Dental for special circumstances such as primary insurance delaying your claim submission.
A reimbursement check is mailed to the Member after their claim is processed.
You should receive a check, to the address we have on file, within two weeks or less. Claims are processed 2-3 times a week so that the turnaround is quick.
The check is the upper 1/3 of the sheet, the lower 2/3 of the sheet is your Explanation of Benefits (EOB). The EOB gives you your remaining Annual Benefit and remaining Lifetime Orthodontic Benefit.
Your EOB should be retained for tax purposes and/or Flex Spending Accounts.
If you do not receive your reimbursement check within two weeks of submitting your claim please contact DCUE Dental.
We work hard to process your claims in a timely manner so please help us by cashing your checks as soon as possible.
A reimbursement check will be considered forfeited if it meets the three criteria:
-check has been outstanding for at least six (6) months
-member has not responded to notifications of an outstanding check
-original amount of the check is under $250.01
If the original check is issued for $250.01 or more then the un-cashed check will follow state guidelines for Unclaimed Property.
Additional fees may apply to claiming your property.
What to expect from DCUE Dental when you retire
When DCUE Dental receives notice of your retirement from the the District Office you will be sent a packet of DCUE Dental Continuation of Coverage information.
You can also view information about COBRA/Continuation of Coverage here.
Continuation of Coverage or COBRA benefits will be offered to you at your own expense. DCUE Dental is separate from your Health Insurance and will be offered separate from your Health Insurance.
Our office is typically notified mid-late summer of retirees. Please contact us with questions after you have received your packet of information.
Thank you.
What to expect from DCUE Dental when there is a change in your status.
If you have a change in status that effects your dental coverage such as a Leave of Abscense, Reduction of Hours, Resignation and/or termination DCUE Dental will be notified by the District.
Once DCUE Dental is notified of your change in status you will be sent an Election Notice and a small packet of information about COBRA/Continuation of Coverage.
You can also view information about COBRA/Continuation of Coverage here.
You are able to elect coverage under COBRA for a set amount of months. You are responsible for paying your own premium to conintue coverage.
If there is a delay in receiving your COBRA notice from DCUE Dental please contact our office to check on the status.
DCUE Dental has a mandatory annual enrollment for all members actively working in the District.
The online enrollment for each new plan year opens on August 1st and closes June 1st.
Claim forms can not be processed without a current plan year enrollment.
The Enrollment deadline is a hard deadline. You will not be able to enroll after June 1st, applicable claim submissions will be denied.
Notices about enrolling and the enrollment period are sent to your District email.
If you are new to the District or are returning to work the District office will notify DCUE Dental of your employment and eligibility. Please contact our office if you did not receive an email notification to enroll after August 1st or shortly after your start date.
Double Spouse: Both parties are ISD 196 employees AND eligible for coverage in the ISD 196 DCUE collective bargaining unit. (Eligible members are teachers, nurses and counselors with .75 FTE or greater; managed by DCUE as stated in bargaining agreement.)
-Employee #1 will be the member whose online account will be used for Online Enrollment. (Emp #1's account includes both Emp #1 & Emp #2 information for enrolling.)
-Employee #1 is determined by whose birthday falls first in a calendar year.
If Double Spouse status is new for you at anytime during the year please contact our office for instruction and account updates.
If you need to update your address, change your name, add a dependent, etc. you need to do this directly with DCUE Dental.
You can simply edit your enrollment form. Log into the Dental Members tab, click on the Open Enrollment picture, edit button, make your changes, initial and complete form.
Dental Members page
During the months of June-July you will need email us to make personal changes on your account. Email dental@dcue.org