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MEA wants all our members to know the Management Benefits Fund has increased the annual dental benefit maximum from $2,500 to $4,000 and the lifetime orthodontic maximum from $2,500 to $4,000, effective January 1, 2012. MEA President Stu Eber expressed his appreciation for the MBF’s decision, “We appreciate the MBF recognizing the need to balance the increasing costs of dental services with the financial integrity of the fund. This 60% increase is a significant improvement during these difficult financial times.”
Director at Large Joel Fishelson, the MEA’s representative to the MBF, said, “We have been working cooperatively for almost ten years to help all managers receive quality dental services at affordable prices. The annual cap and lifetime orthodontic increases represent real dollar savings for our members and their families.”

The MBF web site has been updated to reflect the changes. Here are the relevant portions:
The Fund Dental Plan offers services through a Participating Provider Organization (PPO) and an Out-of-Network reimbursement benefit.
The Dental PPO Program, consisting of over 5,000 providers, offers two networks of participating dentists who have agreed to accept a specified amount of payment directly from the Fund's Claims Administrator for each dental procedure. MBF offers a lower deductible and higher reimbursement percentages for services provided by In-Network providers. The PPO networks are offered through Healthplex and MBF-SIDS Select PPO Programs, as well as the CONNECTION Dental Provider Organization for members residing outside of New York, New Jersey or Connecticut.
Under the Out-of-Network Option, a traditional fee-for-service reimbursement plan, eligible members are reimbursed after deductibles, at either 80%, 70% or 50% of Reasonable and Customary (R&C) allowances, depending on the services, once the member has paid the dentist and filed claim forms with the Fund's Claims Administrator, Healthplex.
Benefit Maximum. The maximum amount of benefits payable is $4,000* per person per benefit year, which runs from January 1st through December 31st. This applies regardless of whether the services are PPO or out-of-network, or both.
There is a separate $4,000* orthodontic lifetime maximum that is not included in the $4,000* annual dental maximum.
*For services completed prior to January 1, 2012, the annual maximum is $2,500 and the lifetime orthodontic maximum is $2,500.
Any MEA member who encounters problems with HealthPlex regarding these changes, or other issues, can contact Joel Fishelson for assistance at director1@nycmea.org

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