Dental Plan
You can add, change or drop dental plan coverage during Open Enrollment.
Two dental plans are offered:
- Buy-Up Plan
- Base Plan
Both are administered by UnitedHealthcare, giving you access to more than 94,000 providers nationwide.
At-A-Glance Comparison Chart
Although the dental plan benefits are the same for in-network and out-of-network providers, in-network dentists will generally charge you less for services.
| Buy-Up Option | Base Option | |||
|---|---|---|---|---|
| Deductible | In-Network | Out-of-Network | In-Network | Out-of-Network |
| Individual | $50 | $50 | ||
| Family | $150 | $150 | ||
| Calendar Year Maximum | $1,250 | $1,000 | ||
| Lifetime Orthodontia Maximum | $2,000 | Not covered | ||
| What the Plan Pays | ||||
| Diagnostic/Preventative Services | ||||
| Oral exams, X-rays, Cleanings, Space Maintainers, Sealants, Fluoride Treatments | 100% | 100% | ||
| Basic Services | ||||
| Fillings, Extractions, Oral Surgery, Endodontics, Periodontics | 80% | 50% | ||
| Major Services | ||||
| Onlays, Prosthodontics, Crowns, Initial Installation & Maintenance | 50% | N/A | ||
| Orthodontics | 50% for adults and children up to $1,000 | Not covered | ||
| Flex Appeal® Enhanced benefits for tooth/gum health |
Yes | No | ||
| Consumer MaxMultiplier® (See “Dental Reward Program” under Helpful Resources at right) |
Yes | No | ||
2024 Premiums
| Coverage | Buy Up Plan Cost | Base Plan Cost | ||
|---|---|---|---|---|
| Monthly | Weekly | Monthly | Weekly | |
| Employee Only | $25.00 | $5.77 | $5.87 | $1.35 |
| Employee + Spouse / Legally-recognized Partner | $53.72 | $12.40 | $14.41 | $3.33 |
| Employee + Child(ren) | $61.52 | $14.20 | $18.92 | $4.37 |
| Family | $97.52 | $22.50 | $28.89 | $6.67 |