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Plan Basics:
An eligible employee may enroll in the Voluntary Dental
Plan during the same periods in which they may enroll in the health care
plans. Either for
coverage beginning on the first of the month following 30 days of
employment, or during the January open season.
**Be advised that at this time, Dental
Insurance is not reimbursed under PSC
Contracts**
Voluntary Dental Plans may work slightly
different than regular employer based group dental plans.
Given the fact that they are voluntary, insurance companies include a
waiting period on some benefits.
Please be sure to review the link to the summary for a more extensive
list and discussion of the benefits and waiting periods under this policy.
The following is an executive summary of
the dental plan, and below that, is a link with a more in depth list of
benefits and exclusions. This
plan is a PPO plan, meaning that benefits are payable for claims both in and
out of the dental network offered through United Healthcare.
The network of dentists may be found
at www.myuhcdental.com
Short Summary of Dental Plan Benefits
Annual Deductible:
$50 individual
$150 family
Annual Benefit Maximum:
$1500 per person
Lifetime Childhood
Orthodontia Maximum:
$1000
In Network Coverage
Out
of Network Coverage
Preventive Care
100% (ded. Waived) 100% (ded. Waived)
Basic Care
80% after deductible
80% after deductible
Major Care
50% after deductible
50% after deductible
Orthodontia
50% (ded. Waived)
50% (ded. Waived)
Here is a detailed
summary of benefits, exclusions, and waiting periods (Click
here for PDF File of of UHC dental summary p5420).
Rates:
Below is a list of
premiums for the Voluntary Dental Plan.
Please see the Eligibility and
Enrollment page in order to apply for coverage.
Monthly Plan Premiums
Per Paycheck
Single
$42.71
$21.36
Emp. & Spouse
$85.42
$42.71
Emp. & Children
$89.38
$44.69
Family
$136.43
$68.42
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