Federal regulations require Health Insurance Portability & Accountability Act (HIPAA) covered entities to share information about the entities' Notice of Privacy Practices (NPP) when an individual first becomes an enrollee, or when there are material changes to the notice.
Under the Gramm-Leach-Bliley Act (GLB), institutions must notify consumers about the information we collect, why we collect it, what we do with it, and how we protect your privacy. This requirement does not apply to California enrollees. For California enrollees, please refer to the California Financial Privacy Notice.
Dentegra complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex, including sex stereotypes and gender identity.
Language Assistance Notice (PDF, 789 KB)
In some states, recipients may receive translated copies of selected materials in Spanish or Chinese.
Similar to the federal Gramm-Leach-Bliley (GLB) Act, Financial institutions and insurance companies are required to provide notices to their customers about their information-collection and information-sharing practices.
This notice is to inform subscribers and enrollees of the procedure for processing and resolving grievances. The information shall include the location and telephone number where grievances may be submitted.
California law requires health plans to provide timely access to care. This law sets limits on how long enrollees have to wait to get appointments and telephone assistance.
California regulations require every health care service plan to provide, upon enrollment and annually thereafter, a notice regarding organ donation options. This notice informs subscribers of the societal benefits of organ donations and the methods they can use to become organ and/or tissue donors.
Dentegra Insurance Company does not tier its network. Dentegra network dentists accept contracting and credentialing requirements set forth by NCQA.
Patient assignment of benefits to an out-of-network provider (PDF, 80 KB) Other languages: Español
Dentegra honors assignment of benefits, as required by West Virginia law, as long as we provide conspicuous notice to our enrollees that assigning benefits is optional. Please attach the Assignment of benefits attestation, signed by your Dentegra patient, when submitting claims to Dentegra. Payment for claims processed without the attachment will be made to the Dentegra enrollee.
Dentegra West Virginia Access Plan (PDF, 110KB)
Dentegra Insurance Company (DIC) ensures enrollees have timely access to a network of directly contracted quality dentists to meet their dental needs. DIC is providing this Access Plan to demonstrate how our access, availability and network quality standards are continuously met.