Dental Plans

Regular full–time and regular part–time employees working 20 hours per week are eligible on the first day of the month after employment.

USP pays all or a substantial portion of the cost of the coverage. Employee pre–tax bi–weekly contributions are:

A comprehensive dental program with United Healthcare allows maximum choice with coverage for diagnostic, preventive, basic, and major services.

Gold PPO – In–and Out–of–Network benefits:

Annual per person in–network deductible for basic and major services; $50/person not to exceed $150/family
Annual per person out–of–network deductible for basic and major services; $100/person not to exceed $300/family
Deductible waived for in–network preventive services
Preventive services covered at 100% in–network; 100% out–of–network of the in–network fee schedule
Basic services covered at 80% in–network; 50% out–of–network of UCR
Major services covered at 50% in–network; 25% out–of–network of UCR
Annual benefit maximum of $2,000 for preventive, basic, and major services combined, subject to maximum rollover
Maximum rollover allows a portion of your unused annual maximum
In–network providers always accept new patients
In– and out–of–network provider is nationwide; allows you to visit the dentist of your choice
Pre–determination review for services and procedures over $300

Platinum PPO – In– and Out–of–Network benefits:

Annual per person in– and out–of–network deductible for basic and major services; $50/person not to exceed $150/family
Deductible waived for preventive services
Preventive services covered at 100% in–network; 100% and out–of–network of UCR
Basic services covered at 90% in–network; 80% out–of–network of UCR
Major services covered at 60% in–network; 50% out–of–network of UCR
Annual benefit maximum of $2,000 for preventive, basic, and major services combined, subject to maximum rollover
Maximum rollover feature allows a portion of your unused annual maximum to rollover for use in future years
Orthodontia services covered at 50% in– and out–of–network to a lifetime maximum of $1,500 for child(ren) under age 19
In–network providers always accept new patients
In– and out–of–network provider is nationwide; allows you to visit the dentist of your choice
Pre–determination review for services and procedures over $300