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:
Base Plan
Buy-Up 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 Carryover Benefit
80% 50%
80% 50%
Up to $250
Up to $400 * $1,500 *
Orthodontia (see below)
N/A
Out-of-Network Reimbursement Employee Monthly Deduction Employee Only
90th Percentile
90th Percentile
$29.10 $65.51 $64.91 $103.35
$46.42 $91.77 $114.29 $172.21
Employee + Spouse Employee + Child(ren)
Family
*Orthodontia Coverage is available for any eligible employee to purchase under the Buy-Up plan.*
16 HORIZONS DIAGNOSTICS LLC 2024 BENEFITS GUIDE
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