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

Semi-monthly cost:

  • Employee: $14.00
  • Employee + Spouse: $23.00
  • Employee + Child(ren): $21.50
  • Family: $37.50

Additional information:  Dental benefits summary