FAQs

• DWP Members
  • Do I have coverage outside of Iowa?
  • What kind of plan do I have and what are my benefits?
  • How do I check to see if I have Full or Basic benefits and/or what is remaining on my $1,000 annual benefit maximum?
  • How can I find a participating dentist in my area?
  • Can I visit a dentist that does not see DWP patients?
  • What is my member ID number?
  • How can I get a replacement ID card?
  • What is my plan year?
  • What is an explanation of benefits or EOB?
  • What are limitations or exclusions?
  • What is a prior authorization?
  • What are Healthy Behaviors for DWP?
  • When do I need to complete Healthy Behaviors by in order to avoid a premium?
  • Why do I have to complete Healthy Behaviors?
  • What preventive services qualify toward the Healthy Behaviors requirement?
  • How do I complete my oral health self-assessment for Healthy Behaviors?
  • What happens if I do not complete my Healthy Behaviors?
  • What is the difference between full and basic dental benefits?
  • How do I know if I have completed my Healthy Behaviors or what benefit level I have?
  • What happens if I don’t pay my premium or claim a hardship?
  • How do I earn Full benefits back if I get reduced to Basic benefits?
  • Will I ever lose my dental benefits?
  • What is an annual benefit maximum (ABM) for dental insurance?
  • Does the Annual Benefit Maximum (ABM) apply to all DWP members?
  • What dental services can I get with my annual benefit maximum (ABM)?
  • What time period does my annual benefit maximum (ABM) cover?
  • How do I find out how much of my annual benefit maximum (ABM) I have left?
• DWP Dentists
  • What are the Healthy Behaviors requirements for the DWP?
  • When do DWP members need to complete Healthy Behaviors by in order to avoid a premium?
  • Why do members have to complete Healthy Behaviors?
  • What preventive services qualify toward the Healthy Behaviors requirement?
  • How do DWP members complete their self-assessment?
  • What is the advantage of a member completing Healthy Behaviors?
  • What happens if Healthy Behaviors are not completed?
  • How do I know if a DWP member has completed their Healthy Behaviors?
  • What happens if a DWP member does not pay their premium or claim a hardship?
  • What is the difference between full and basic dental benefits?
  • How does a member get back to Full Benefits?
  • How will my office know the DWP member’s benefit level?
  • Can DWP members ever lose their dental benefits?
  • Who do I contact if I have additional questions?
  • Does the Annual Benefit Maximum (ABM) apply to all members?
  • How do I track a member’s annual benefit maximum (ABM)?
  • What services apply to the annual benefit maximum (ABM)?
  • When are sedation services excluded from the annual benefit maximum (ABM)?
  • Who is paid first if a member is receiving services on the same date of service by multiple providers?
  • What if a member needs full mouth extractions and dentures?
• Hawki Members
  • Do I have coverage outside of Iowa?
  • What kind of plan do I have and what are my benefits?
  • How do I check to see what is remaining on my $1,000 annual benefit maximum?
  • How can I find a participating dentist in my area?
  • Can I visit a non-participating dentist?
  • What is my member ID number?
  • How can I get a replacement ID card?
  • What is an annual benefit maximum for dental insurance?
  • What is a benefit period?
  • Why did I receive a bill to pay for dental services?
  • Are braces included in the plan?
• Hawki Dentists
  • Where can I find a member’s eligibility, benefits, and/or what is remaining on their annual maximum?
  • How are orthodontia services determined for hawk-i members?