Each family member enrolled with Dominion National who receives two cleanings during the plan year will be reimbursed for their $10 office visit copayments made to the dentist at the time of service (a total reimbursement of $20 per family member). No additional action will be required on your part to receive the reward as we will automatically send you the reward check. Simply make your semi‐annual teeth cleaning appointments and ask your dentist to submit a claim for your cleaning. Checks are sent monthly to members who qualify. If your dentist does not submit your claim, you will be provided an opportunity to receive this reimbursement at the end of the plan year. If you participate with FSAFEDS, Dominion may coordinate the reimbursement through your FSA.*

* Please note that if you take advantage of the additional third cleaning offered at a reduced fee, the additional cleaning will not be part of the Prevention Rewards program (payments are limited to two cleanings).