Dental office toolkit retiree full#

The University reserves the right to modify, amend, or terminate the Plans at any time, including actions that may affect coverage, cost sharing, or covered benefits, as well as benefits that are provided to current and future retirees. **Enrollment in the Medallion Plan and orthodontia treatment must be maintained over the course of two years to receive the lifetime maximum ($1,500)

Dental office toolkit retiree full#

*Contact Excellus BlueCross BlueShield for the full list of covered services. Benefits for replacement of multiple missing teeth and/or bilaterally missing teeth are allowed as a partial denture.540 for retiree and more than one dependent. The annual cost for this dental coverage is: 180 for retiree only 360 for retiree and one dependent or. Dental procedures and/or treatment started prior to your effective date will not receive the 25 discounted rates. Services are reviewed for medical necessity. Call Aetna Dental at 80 for oral care services costs.($1,500 total to be paid over the course of 2 years) **Covered at 50%, subject to orthodontia lifetime maximum Implants (limited coverage requires preauthorization) 3.Plan pays 100% of in-network negotiated rates, no deductibleĬlass II and IIA-Basic Restorative Services* If the more expensive procedure is chosen by you or your Dentist and is not medically necessary, you must pay the difference between the plan’s payment and the amount billed by the Dentist. Benefits will be provided for the procedure carrying the lesser allowable expense, provided that procedure meets acceptable dental standards, subject to medical necessity. Coverage for Residents and Fellows is effective the date of hire or appointment.Īll covered procedures are subject to Alternative Benefits. $2,000 applies to classes II, IIA, and IIIĬoverage for eligible faculty and staff members is effective the first of the month following your date of appointment or on the date of appointment if it occurs on the first of the month. $1,000 applies to classes II, IIA, and III Maximum benefit per calendar year (per participant) $50 individual/$150 family applies to classes II, IIA, and III It is recommended that you request a Predetermination of Benefits prior to receiving any care expected to exceed $300. Public Health Service Active Duty Dental Program are administered by the Federal Government Programs division of Delta Dental of California through its subsidiary Delta Dental Insurance Company. However, nonparticipating dentists are not obligated to accept Excellus BCBS’s allowed amounts as payment in full and will balance bill any amount in excess of Excellus BCBS’s allowed amounts. Delta Dental’s Federal Employees Dental Program, Delta Dental’s Veterans Affairs Dental Insurance Program (VADIP), the Office of the Comptroller of the Currency Dental Insurance Program and the U.S. The Dental Plans allow you the freedom to see any dentist you choose. Printer-friendly chart Type of Care / Plan Features You can also explore rate information for these plans. The chart below details differences between your two plan options. Our two dental plans, the Traditional Plan and Medallion Plan, are administered by Excellus BlueCross BlueShield and offer you coverage for your dental needs.