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The University’s dental plan focuses on the importance of regular and
preventative dental care. It is currently administered by Delta Dental. The plan
offers dental coverage through a network of participating dentists both locally
and nationwide.
Delta Dental covers a percentage of most dental services. Preventative services
are covered at 100%; other eligible dental services are paid at 80%, 60% and 50%
depending on the service, after you pay a plan year deductible of $50 per person
(maximum 3 per family). You may choose a Delta dentist from the Premier network
or the PPO network. The maximum benefit amount per person for
services other than orthodontic work is $1,500 per plan year for the Premier
Plan or $1,750 per plan year for the PPO Plan. The lifetime maximum
benefit paid for a child’s orthodontic care is $1,500 under both the Premier and
PPO Plans.
Delta Dental payments to dentists or reimbursements to subscribers are based on
the Delta Dental network allowance. If you use a dentist who is not a member of
the Delta Dental network, you may be subject to a balance bill in addition to
any deductible and co-payments required. When you utilize a participating
dentist, your out-of-pocket costs are reduced and no claim forms are necessary.
If you have other dental coverage under a spouse’s plan, or you do not want
coverage at all, you may waive this coverage. Employees who waive
dental coverage will be required to wait two (2) years before
re-enrollment in the plan at the following open enrollment period.
Dental claim forms can be downloaded and
are also available at the University Form Centers.
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