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1. Benefits
2. Summary of Covered Charges
3. Dental Basic
4. Dental Plus

1. Dental Plan Costs

BENEFITS

As a regular full-time faculty or staff member, you may choose to enroll in the Penn State Dental Plan for yourself and for your eligible dependents. The Dental Plan is administered by United Concordia (UCCI), which offers dental care benefits through a nationwide network of qualified providers. As an alternative to UCCI participating providers, you may use any dental care specialist.

• When you use a UCCI network provider, you will maximize your benefits. UCCI contracts with dental care professionals to provide quality services at a discounted rate. If you are using a UCCI network provider, you will be responsible for a specific percentage of that discounted rate.
• When you use an out-of-network provider, UCCI pays a maximum allowable charge based on the in-network contracted amount. Charges that exceed the UCCI maximum allowable charges are your responsibility.

SUMMARY OF COVERED CHARGES

Dental Basic:

• Preventive Services are paid at 100%
• Basic Services are paid at 80%
• Major Services are paid at 60%
• Orthodontics is paid at 60% with a $1,250 per person lifetime maximum.
• There is a $1,000 annual program maximum per covered person with a $25 deductible per person and $50 deductible per family.*
• Implant coverage is paid at 60% up to $1,000 annual maximum
• Fluoride treatments for participants up to age 19.**

Dental Plus:***

• Preventive Services are paid at 100%
• Basic Services are paid at 100%
• Major Services are paid at 80%
• There is a $1,000 annual maximum per covered person with a $25 deductible per person and $50 deductible per family. *
• Implant Coverage is paid at 60% with a $1,000 annual maximum.
• Orthodontics is paid at 60% with a $2,500 per person lifetime maximum.
• Fluoride treatments for participants up to age 19.**

* Deductibles are waived for services from network providers and percentages are applied to agreed reimbursement rates. Non-network reimbursements are based on the stated percentage of the maximum allowable charges.

**When appropriate, coverage for prescription fluoride treatment is available through your Penn State health plan. Coverage applies at the retail level from your local pharmacy as well as from your mail-order maintenance drug plan. Additional information is available in United Concordia's Adult Fluoride Treatment FAQs.

***Dental Plus is not open for new enrollment and will end on December 31, 2008.

You may access a list of participating providers from the UCCI website. You can locate participating providers in Centre County from the Nittany County Network.

A predetermination of benefits permits a review of a proposed treatment in advance and allows for resolution of any questions before, rather than after, the work has been done. Additionally, both you and the dentist will know in advance, rather than after, the coverage and estimated benefit. A predetermination should be requested when the total charges will be $300 or more.

2008 DENTAL RATES

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