Dental Insurance
The Dental Plan, administered by United Concordia Dental, has benefits for preventive, basic and major dental expenses, and orthodontia.
With the dental plan, there are in-network benefits and out-of-network benefits. To locate in-network dental providers, please select the “Elite Plus” network and search the online dental provider directory
The in-network dental benefits are:
Per calendar year:
- Individual deductible: $50
- Family Deductible: $150
- Maximum benefit: $1,500 per covered person (all covered expenses apply)
- Type A (Preventive): 100% (deductible does not apply); includes, but not limited to:
- Routine comprehensive examination: limited to 2 visits per year
- Prophylaxis (cleaning): limited to 2 treatments per year
- Topical application of fluoride: once per year
- Bitewing x-rays: limited to 1 set per year
- Type B (Basic Restorative): 80% co-insurance after deductible; includes, but not limited to:
- Oral surgery
- Periodontics
- Endodontics
- Restorative Dentistry
- Type C (Major Restorative): 50% co-insurance after deductible; includes, but not limited to:
- Inlays and onlays
- Veneers
- Crowns
- Dentures
Per lifetime:
- Orthodontia: 50% co-insurance after deductible, $1,500 maximum benefit
2024 Dental Rates:
Coverage Type | Employee Cost (per pay period) |
City Cost (per month) |
Employee Only | $14 | $20 |
Employee & Child(ren) | $21.50 | |
Employee & Spouse | $23 | |
Employee & Family | $37.50 |
Additional information: Dental benefits summary