PARTICIPATING DENTIST PROGRAM

PARTICIPATING DENTIST PROGRAM

September 201

DIRECTORY OF

PARTICIPATING DENTISTS

Administered by

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Contents

GENERAL INFORMATION

GENERAL PRACTITIONERS

NEW YORK

Bronx..............................................................

1

Brooklyn .........................................................

2

Dutchess ........................................................

Manhattan ......................................................

Nassau...........................................................

Orange ...........................................................

Queens ..........................................................

Rensselaer.....................................................

Rockland ........................................................ 1

Staten Island .................................................. 1

Suffolk ............................................................ 1

Ulster.............................................................. 1

Westchester ................................................... 1

NEW JERSEY

Bergen ........................................................... 1

Essex ............................................................. 1

Hudson........................................................... 1

Mercer............................................................

Middlesex.......................................................

Monmouth ......................................................

Ocean ............................................................

Passaic .......................................................... Union.............................................................. ARIZONA Maricopa ........................................................ CONNECTICUT Fairfield .......................................................... New Haven .................................................... FLORIDA Broward.......................................................... &ROOLHU.......................................................... Dade .............................................................. Palm Beach ................................................... MARYLAND Baltimore City ................................................ 2

1(%5$6.$ 'RXJODV................................................ 2

1(9$'$ &ODUN................................................ 2

7(;$6.............................................................. 2 )RUW%HQG............................................... 22

+DUULV............................................... 22

SPECIALISTS ............................................................... 2-3 Endodontists Oral Surgeons Orthodontists Pediatric Dentists Periodontists Prosthodontists

SATISFACTION QUESTIONNAIRE.............................. 3

GENERAL INFORMATION

The UFT Welfare Fund Participating Dentist Program is designed to provide you with comprehensive dental services while reducing or eliminating your out-of-pocket expenses.

If you or a member of your family who is covered for dental benefits wish to use a Participating Dentist, select one from this Director of Participating Dentists and call for an appointment. Updated listings are also available at . Be sure to identify yourself as an eligible member of the United Federation of Teachers Welfare Fund. Be aware that although several dentists may practice at the same location, only the dentist whose name appears in this Director is a UFT Participating Dentist.

When you obtain your services from a Participating Dentist it does not in any way change the nature of your dental plan. Plan allowances are the same for services provided by a participating or non-participating dentist. However, if you use a Participating Dentist, the Fund will pay your dentist directly. If you use a non-participating dentist, the Fund will pay up to the maximum allowance set forth in the dental schedule and you will be responsible for the difference between that allowance and your dentist's charge.

This program was developed in cooperation with SIDS Consultants, who will monitor the performance of participating providers to ensure that appointments are freely given and honored and that charges for services do not exceed Maximum Charges listed in the UFT Welfare Fund Dental Schedule. You will not be required to pay the dentist any money except in the following few instances.

For a covered, but non-reimbursable service. There are services listed in the dental schedule which, at times, are not payable by the plan. For example: restorations for cosmetic improvement; services for which the Alternate Benefit Provision is applied; where frequency limitations and/or plan maximums have been met. In these instances the Participating Dentist may not charge more than the Dental Schedule would have paid for those services, plus any applicable co-payments.

For a specified co-payment. You are responsible to pay the dentist the patient co-payment amount for services listed in red in the Dental Schedule for certain highcost services (crowns, bridges, dentures, root therapy, orthodontic treatment, intravenous anesthesia and treatment appliances).

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