Premium Dental Benefit Summary



Premium Dental Benefit Summary

Premium Dental Plan Benefit Summary
How the plan works:
  • All Care is covered at 100% up to $200 (deductible waived)
  • Then all other care is covered at 50% after deductible
  • Orthodontic care is covered at 50% after deductible
  • The maximum benefit per person is $1500 from January 1 - December 31, each year
  • You may use the dental care provider of your choice
  • Deductibles are $75.00 per person
How to file a claim and receive reimbursement:
  • The itemized bill is mailed or faxed to Direct Reimbursement along with a claim form.
    Fax # 770-683-1099
    Mailing Address: Direct Reimbursement Benefit Plans
    PO Box 71549
    Newnan, GA 30271
  • Proof of student status (ages 19 through 25 must be submitted with the claim form if full-time student.)
  • Benefit checks will be made payable to you and mailed to your home.
  • Please note that if you have a medical Flexible Spending Account through GCPS, when you submit your claim, any out-of-pocket expenses will be automatically distributed out of your Flexible Spending Account. You cannot use your Flex Card to pay for dental expenses and get reimbursement from Direct Reimbursement.