DENTAL INSURANCE
DENTAL PLAN INFORMATION
65%+ FTE FACULTY 75%+ FTE STAFF
ELIGIBILITY
PLAN INFORMATION
BASIC
BASIC ORTHO
HIGH
HIGH ORTHO
$50 PER PERSON $150 FAMILY APPLIES TO ALL SERVICES, EXCEPT DIAGNOSTIC AND PREVENTATIVE $500 PER PERSON, EXCLUDING ORTHODONTIC SERVICES
$25 PER PERSON $75 FAMILY APPLIES TO ALL SERVICES, EXCEPT DIAGNOSTIC AND PREVENTATIVE
$50 PER PERSON $100 FAMILY APPLIES TO ALL SERVICES, EXCEPT DIAGNOSTIC AND PREVENTATIVE $2,000 PER PERSON, EXCLUDING ORTHODONTIC SERVICES
$50 PER PERSON $150 FAMILY APPLIES TO ALL SERVICES
ANNUAL DEDUCTIBLE
$500 PER PERSON
$1,000 PER PERSON
ANNUAL MAXIMUM BENEFIT
80% AFTER DEDUCTIBLE
100% NO DEDUCTIBLE
100% NO DEDUCTIBLE
100% NO DEDUCTIBLE
PREVENTATIVE CARE
80% AFTER DEDUCTIBLE
80% AFTER DEDUCTIBLE
80% AFTER DEDUCTIBLE
80% AFTER DEDUCTIBLE
BASIC RESTORATIVE SERVICES
60% AFTER DEDUCTIBLE
80% AFTER DEDUCTIBLE
60% AFTER DEDUCTIBLE
60% AFTER DEDUCTIBLE
MAJOR SERVICES
50% AFTER DEDUCTIBLE
60% AFTER DEDUCTIBLE
NOT COVERED
NOT COVERED
ORTHODONTIC SERVICES
($1,000 LIFETIME MAX PER PERSON)
($2,000 LIFETIME MAX PER PERSON)
EMPLOYEE CONTRIBUTION
RATES VARY BASED ON COVERAGE SELECTION http://www.uc.edu/hr/benefits/healthplans/dental/costsandcoverage.html
PLAN ADMINISTRATOR
ANTHEM
EXCLUSIONS AND LIMITATIONS : ALL PLANS ARE SUBJECT TO EXCLUSIONS, LIMITATIONS AND PERIODIC UPDATES. ORTHODONTICS ARE FOR DEPENDENT CHILDREN ONLY UNDER AGE 19. FOR DETAILS ABOUT THE PLANS, CONTACT ANTHEM CUSTOMER SERVICE AT 1-877-604-2156
FOR MORE INFORMATION ON DENTAL PLANS: http://www.uc.edu/hr/benefits/healthplans/dental.html
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