Teen Challenge - 2024 Executives Benefits Guide

Dental Coverage

Good dental care is critical to your overall well-being. With Unum Dental Insurance, you can get the attention your teeth need - at a cost you can afford. To get the most from your benefits and reduce out-of-pocket costs, choose an in-network provider by utilizing our large national network. These providers have agreed to file your claims and uphold the highest quality standards. You can find in-network providers at unum.com/dental-providers

Insurance Carrier:

Unum Dental Insurance

Plan Type:

Basic Plan

Enhanced Plan

Calendar Year Deductible Calendar Year Maximum

$50 Individual / $150 Family

$50 Individual / $150 Family

$1,000

$2,000

Preventive Services

100%

100%

Basic Services Major Services Endo / Perio

80% 50% 50% N/A

90% 60% 90%

Orthodontia (dependent children only) Out-of-Network Reimbursement Employee Bi-Weekly Deduction Employee Only

$2,000

90th UCR

90th UCR

$13.33 $26.25 $37.79 $50.70

$21.48 $42.06 $55.21 $75.79

Employee + Spouse Employee + Child(ren)

Family

22 TEEN CHALLENGE 2024 BENEFITS GUIDE

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