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 2023 BENEFITS GUIDE
Made with FlippingBook - professional solution for displaying marketing and sales documents online