Sun Health & Dental FAQ

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Getting Started & Membership

Where can I sign up for Sun Health Telemedicine Urgent Care?

Simply register online or call (855) 335-2255 to create and register your account.

What documents do I need to bring to my doctor appointment?

Present your Sun Health & Dental membership card along with a photo ID at the time of your visit to verify eligibility and receive contracted pricing for services.

Can Sun Health & Dental be used in addition to an existing insurance plan?

Yes, Sun Health & Dental can be used as a supplementary plan alongside an already existing insurance coverage. It provides an extra layer of protection and benefits, offering a more comprehensive approach to healthcare for individuals.

Who is eligible for Telemedicine services?

Who is eligible for Telemedicine services?
Telemedicine services are available to all Sun Health & Dental members.

What is a fee schedule?

A fee schedule is a predetermined list of charges for specific medical services provided by healthcare providers. In the context of Sun Health, our fee schedule functions as a guide for the pricing of services offered by participating healthcare providers to our mutual patients. It typically includes Current Procedural Terminology (CPT) codes, which represent specific medical procedures or services, along with corresponding prices for each code. Patients are then billed according to this fee schedule based on the services they receive during their visit to the provider’s office.

Does Sun Health & Dental offer labs?

Yes, Sun Health & Dental offers lab services to its members. Our basic lab panel starts at $12.50 in participating locations. Sun Health also offers a monthly lab subscription with Quest Select where members pay a small monthly fee, and are then able to get as many labs throughout the whole year at no additional cost.

How much does each plan cost?

Our individual plan starts at $40 per month, $45 for couples, and $50 for a family plan.

Does Sun Health & Dental offer discounts on prescriptions?

Yes! Through our platinum partnership with GoodRx we are able to offer our members exclusive discounts on their prescriptions.

Is Sun Health available for businesses?

Yes! Sun Health is a great way for startups and small businesses to provide healthcare benefits without a hefty investment.

Are prescriptions guaranteed?

No, prescriptions are not guaranteed, and are written at the discretion of your doctor. There are no prescriptions available for DEA-controlled substances or other classes of medication such as mood-altering drugs, including antidepressants, antianxiety or lifestyle medications.

What services does Sun Health & Dental offer?

Sun Health & Dental provides a comprehensive range of healthcare services to its members, including primary care, specialists, urgent care, hospital bill negotiation services, diagnostic radiology, laboratory services, vision care, and telemedicine.

What does Sun Health & Dental have to do with medicare?

Sun Health & Dental was not created for Medicare beneficiaries. It serves individuals by offering a more personalized and efficient approach to medical and dental coverage, along with the multitude of other plan benefits.

What benefits does Sun Health & Dental offer that traditional insurance may not?

Sun Health & Dental provides a cost-effective solution with a concierge-style approach. It caters to those who may not qualify for traditional insurance and offers a more efficient alternative. Additionally, it covers both medical and dental needs, providing a comprehensive option for individuals. Furthermore, Sun Health & Dental has vision coverage, hospital bill negotiation, and even 24/7 telemedicine at no additional cost.

How do members get scheduled at the provider’s office?

Members can schedule appointments at providers offices by reaching out to our dedicated customer service team. Here’s how it works: When a patient contacts us to schedule an appointment, one of our customer service representatives will coordinate with the provider’s office to set up the appointment. After the appointment is scheduled, our team will then reach out to the patient to provide all necessary appointment details, including the date, time, payment information, and location. This ensures a seamless scheduling process for our members.

When does a member pay for their appointment?

Payment is collected at the time of service by all in-network providers affiliated with Sun Health. The amount due is determined based on the services rendered during the patient’s visit to the provider’s office. Prices are set according to the agreed-upon fee schedule, which outlines the costs associated with specific services. Providers are expected to adhere to this fee schedule when billing patients for their services.

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Telemedicine & Urgent Care

How do I use Sun Health Telemedicine Urgent Care?

After you sign up, you can request a consultation 24/7 all year, including holidays, ONLINE, over the PHONE or through our mobile app.

How do I schedule a Telemedicine appointment?

To schedule a Telemedicine appointment, contact our Customer Service Department at 888-577-8670, or use our online platform for appointment scheduling.

When should I use Sun Health Telemedicine Urgent Care?

Urgent Care can be used for non-emergency ailments such as allergies, cold and flu, pink eye and urinary tract infections. It can also be used if your doctor is closed or you live far from them. If you are experiencing a medical emergency, call 911.

Is Telemedicine secure and confidential?

Yes, Telemedicine platforms prioritize patient privacy and security, ensuring all consultations are confidential and comply with healthcare privacy regulations.

How often can I use Telemedicine?

Members can use Telemedicine services as often as needed, offering timely access to medical care whenever required.

What types of conditions can be treated through Telemedicine?

Telemedicine can address common illnesses, minor injuries, prescription refills, and follow-up consultations, among other non-emergency medical issues.

Can I use Sun Health Telemedicine Urgent Care while I'm on the go?

Absolutely! Telemedicine Urgent Care is available while you’re traveling within the United States.

What is Telemedicine and how does it work?

Telemedicine allows members to consult with their doctors remotely via video calls or phone calls, providing convenient access to medical care from anywhere, at any time, at no additional cost.

Do I need to schedule an appointment for Urgent Care visits?

Appointments are not required for urgent care visits. However, it’s recommended to call the center beforehand to ensure they are open, as not all urgent care centers are 24/7.

How much do phone and video consultations cost?

Phone and video consultations have no extra cost. You only pay for your monthly plan.

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Labs & Quest Select

What is Quest Select?

Quest Select is a Sun Health and Dental exclusive benefit that provides members with access to unlimited labs. Members can pay a small monthly fee for unlimited labs at no additional cost.

How much does Quest Select cost?

An individual plan is $15 per month, a couple plan is $25 per month, and a family plan is $40 per month.

What is the process for getting my labs done through Quest Select at a Quest Diagnostics location?

Start by visiting your doctor and obtaining a lab order form during your appointment. Once you have your order, a Sun Health representative can help you schedule a lab draw appointment at your nearest Quest Diagnostics location or assist in finding a convenient walk-in option.

When you arrive at Quest Diagnostics, simply present your Sun Health member ID card, which includes your Quest Select ID number. The lab will verify your active membership, and you’ll have your blood drawn—all at no cost to you.

With Quest Select, accessing lab services is straightforward, seamless, and hassle-free.

Where are the Quest Select labs?

Quest Select can be used at any Quest Diagnostic location near you.

How many labs are included in the Quest Select program?

Over 1,000 commonly ordered labs are a part of the Quest Select program.

What lab services are included in my membership?

Members get access to 1,000+ lab tests, including:
Comprehensive blood panels (CBC, CMP, Lipids, etc.)

Thyroid tests
STD panels
Vitamin and hormone levels

How much do lab tests cost?

Most basic lab panels are under $20 with your membership. Sun Health also offers a monthly lab subscription with Quest Select where members pay a small monthly fee, and are able to get unlimited labs throughout the whole year at no additional cost.

Where do I get tested?

Our customer service team will help you find the closest, and more convenient lab. We also work with national partners like Quest Diagnostics.

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Dental & Vision Care

Are X-rays safe?

Yes, dental X-rays are generally safe. Dentists use low levels of radiation to capture images of your teeth and jawbone. They take precautions to minimize exposure, such as using lead aprons and digital X-ray technology.

How often should I visit the dentist?

Regular dental check-ups are essential for maintaining good oral health. Dentists can detect and address issues early, preventing more significant problems down the line. They also provide professional cleanings to remove plaque and tartar buildup, which can lead to cavities and gum disease.

Does Sun Health & Dental offer vision coverage to its members?

Yes, all of our plans include vision coverage.

What is the importance of regular dental check-ups?

Regular dental check-ups are essential for maintaining good oral health. Dentists can detect and address issues early, preventing more significant problems down the line. They also provide professional cleanings to remove plaque and tartar buildup, which can lead to cavities and gum disease.

What can I expect during a dental check-up?

During a dental check-up, your dentist will perform a thorough examination of your teeth and gums. They may also take X-rays to detect hidden issues. Additionally, you might receive a professional cleaning to remove plaque and tartar buildup.

What is gum disease, and how can I prevent it?

Gum disease, also known as periodontal disease, is an infection of the gums and tissues that support your teeth. To prevent gum disease, practice good oral hygiene, including regular brushing and flossing. Avoid smoking and manage conditions like diabetes that can increase your risk.

How can I prevent cavities?

Preventing cavities involves a combination of good oral hygiene practices, such as brushing and flossing regularly, avoiding sugary foods and drinks, and getting fluoride treatments. Regular dental check-ups are also crucial for cavity prevention.

Are there alternatives to traditional braces for straightening teeth?

Yes, there are alternatives like Invisalign, which uses clear aligners to gradually straighten teeth. Your dentist or orthodontist can help determine the best option for your specific needs.

How can I deal with dental anxiety?

If you experience dental anxiety, discuss it with your dentist. They can offer various techniques to help you relax, such as sedation options or simply taking breaks during your appointment. Open communication is key to managing dental anxiety effectively.

What dental plans are available?

We offer:

Dental Preferred: Fully covered cleanings, exams, X-rays, and deep discounts on major procedures.

– $15/month standalone or $12.99/month as an add-on to a health plan
Dental Plus: Discount-only plan, cannot be purchased alone.

– $2/month (individual) or $3/month (couple/family add-on)
Dental + Vision Bundle:

– $25/month standalone

Can I use my own dentist?

We recommend using our network for the biggest savings, but you can always call to check if your provider would want to join our network.

How do I make a dental appointment?

Call our customer service team at (888) 577-8670 and we’ll book it for you—many members get appointments in 3 days or less.

What vision benefits do I get?

Vision services include:

Eye exams
Prescription glasses and contact lenses

How do I use my vision benefits?

Call Sun Health and we’ll direct you to a nearby contracted provider or help schedule your appointment directly.

Is vision included in the health plan?

Yes, vision is included with all health memberships. You can also purchase it as part of the Dental + Vision bundle.

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Hospital Advocacy & Claims

What happens in case of a medical emergency requiring a hospital emergency room visit?

In the event of a life-threatening illness or injury, members should go directly to a hospital emergency room for immediate medical attention. Sun Health can negotiate hospital bills on your behalf.

Can Sun Health & Dental assist with hospital bills?

Yes, through our Hospital Advocacy Program, our dedicated Patient Advocates work with healthcare providers to negotiate settlements, discounts, or personalized payment plans, resulting in significant savings for our members.

Does Sun Health pay claims?

No, Sun Health does not pay claims. As a licensed DPMO (Discount Plan Organization) in the state of Florida, we do not directly pay claims. Instead, our members pay for services at the time of their appointment, in accordance with the predetermined fee schedule we have established with the provider’s office.

What's your payor ID?

As a Discount Plan Organization (DPMO) operating in the state of Florida, Sun Health does not have a payor ID. Since we do not process or pay claims, we do not operate under a traditional payor ID system.

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Enrollment & Eligibility

Who can enroll in Sun Health & Dental?

Anyone can enroll, regardless of age, income, immigration status, or insurance coverage. Sun Health is designed to be flexible and accessible.

How do I enroll?

You can enroll by calling (855) 335-2255 or visiting sunhealthdental.com.

Do I need insurance to use Sun Health?

No, Sun Health is not insurance—it’s a medical discount plan that works with or without traditional health insurance.

What if I already have health insurance or Obamacare?

Sun Health works great as a supplement to your existing coverage. We help you save on high deductibles, book appointments faster, and access discounted services.

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Prescriptions

Do I get discounts on prescriptions?

Yes. Sun Health members get exclusive pricing through our GoodRx Gold Platinum partnership, offering up to 90% off retail prices.

Where can I use the prescription discount?

You can use it at most major pharmacy chains including CVS, Walgreens, and Walmart. Just show your digital or physical member ID card at checkout.

Can I check prices before going to the pharmacy?

Yes! Use our online portal or call customer service to compare prices at local pharmacies.

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Hospital Negotiations

What are hospital bill negotiations?

If you receive a large hospital bill, our hospital advocacy team will step in to negotiate it on your behalf—sometimes reducing the balance to zero.

Is this included in my membership?

Yes. All Sun Health & Dental health members have access to our hospital negotiation service at no extra cost.

How successful are your negotiations?

As of July 2024, we’ve helped members save nearly $900,000, including full write-offs for 15 different hospital bills.

How do I request help with a bill?

Call our main line at (888) 577-8670 as soon as you receive a hospital or ER bill.

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