The Dental plan, administered by United Concordia (UCCI), offers you the option to select any dentist of your choice, in or out of the network, however, when you use a UCCI network provider, you receive the highest level of benefits and are not responsible for amounts in excess of the contracted allowance.
Coverage highlights include:
- Preventive dental exams, including bitewing x-rays and fluoride treatments for children are covered at 100%
- Basic services such as extractions, oral surgery and periodontics are covered at 80%
- Major services such as inlays, on-lays, crowns, bridges and implants are covered at 60% when you use a UCCI network dentist.
- A deductible for non-preventive services: $50 individual/$150 other coverage levels.
The yearly maximum per person is $1,500 for basic and major services. Orthodontia services are available for both adults and children up to $1,500 per lifetime, per person.
Coverage | Employee Biweekly | Employee Monthly |
---|---|---|
Employee | $2.63 | $5.70 |
Family | $8.98 | $19.46 |