DENTAL

UnitedHealthCare

Regular dental exams can help you and your dentist detect problems in the early stages when treatment is simpler and costs are lower. Keeping your teeth and gums clean and healthy will help prevent most tooth decay and periodontal disease, and is an important part of maintaining your medical health.

Resources

Dental Plan Summary

PPO Overview

Welcome to the PPO Plan

	In-Network	Out-of-Network
Annual Deductible (Individual/Family)	$50/$150
Annual Maximum (per person)	$2,000
Preventive Care:	100%	100%
Basic Services	80%	80%
Major Services	50%	50%
Implants	50%	50%
Orthodontia: Child Only (Up to Age 19)	50%, $1,000 Lifetime Maximum	50%, $1,000 Lifetime Maximum

Rates	Bi-Weekly	Semi-Monthly
Associate	$3.75	$4.00
Family	$10.00	$10.75

* Annual Deductible applies to Basic and Major services only;
** If you use an out of network provider you must pay any difference between the dentist’s fee & the plan payment; in network providers (PDP) accept the plan payment as payment in-full subject to any cost sharing. Dependent Age 26.