Dental Plans

USP offers comprehensive coverage for diagnostic, preventive, basic, and major services through United Healthcare with two plan designs:

Gold Plan: Offers in- and out-of-network benefits. There is an annual per person in-network deductible for basic and major services and an annual per person out-of-network deductible for basic and major services. The deductible is waived for in-network preventive services. Preventive services covered at 100% in-network; 100% out-of-network of UCR. 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. There is an annual benefit maximum of $2,000 for preventive, basic and major services. Nationwide in- and out-of-network providers; allows you to visit the dentist of your choice. USP pays the cost of this coverage at all levels.

Platinum Plan: Offers in- and out-of-network benefits. There is an annual per person in-network deductible for basic and major services and an annual per person out-of-network deductible for basic and major services. The deductible is waived for in-network preventive services. Preventive services covered at 100% of UCR in-network and out-of-network. 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. There is an annual benefit maximum of $2,000 for preventive, basic and major services. Orthodontia services covered at 50% in- and out-of-network to a lifetime maximum of $1,500 for child(ren) under age 19. Nationwide in- and out-of-network providers; allows you to visit the dentist of your choice.

The bi-weekly premiums for each plan are as follows:

Coverage Level	Gold Plan	Platinum Plan
Employee Only	$0.00	$8.67
Employee + 1	$0.00	$17.50
Employee + 2 or more	$0.00	$30.42