Dental Insurance

UnitedHealthcare and LSU have teamed up to create a dental plan with options that offer coverage for preventive, basic, major and orthodontic services to fit your individual needs. You have the choice of one of two plans: Enhanced Plan or Basic Plan. Below you can find detailed information about these two plans.

Annual Enrollment

There will be no changes with the plan design with your Dental Insurance as long as you utilize UnitedHealthcare in-network providers. If you are utilizing an out-of-provider, you may see an increase in member responsibility when you go to the dentist. To find an in-network provider, please visit www.myuhcdental.com and select the National PPO 20 option. There will be a 5% premium increase on both the Basic and Enhanced Plans. You may add or delete dependents or switch between the Basic and Enhanced plans during Annual Enrollment. No action is required if you wish to remain in the same plan. If you are not currently enrolled, you may enroll during the month of October.

2017 Premium Rates

Monthly Premiums (12 month employee)

Coverage Plan Enhanced Plan Basic Plan
Employee Only $34.50  $18.78
Employee + Spouse  $67.52  $35.28
Employee + Children  $82.08  $48.76
Family $115.06 $65.26

 

Monthly Premiums (9 month employee)

Coverage Plan Enhanced Plan Basic Plan
Employee Only  $46.00  $25.04
Employee + Spouse  $90.04  $47.04
Employee + Children  $109.44  $65.02
Family $153.42 $87.00

 

Enhanced Plan Benefits - Click here for the Enhanced Plan Flyer

Dental Services In-Network Out-of-Network
Preventative and Diagnostic 100% 100%
Basic Services    
    Minor Restorative 80% 80%
    Simple Extractions 80% 80%
    Periodontics - maintenance 80% 80%
Major Services    
    Periodontics - surgical 50% 50%
    Endodontics 50% 50%
    Oral Surgery 50% 50%
    Crown & Bridge 50% 50%
    Dentures 50% 50%
Orthodontia - Adult & Child 50% 50%
Deductible None None
    Annual Maximum $1,500 $1,500
    Waiting Period None None

 

Enhanced Plan Additional Benefits 

  • MaxMultiplier - Allows members to carry forward a portion of their unused annual dental maximum into an account for future use. How do you qualify for an award? At least one preventative dental claim during the coverage period. And, a bonus when you use a network dentist for all services. Click HERE for more information.
  • Preventative MaxMultiplier - Pays for preventive and diagnostic care without deducting from plans annual maximum.

Watch Now! Dental Brainshark : A customized multimedia presentation designed to inform and educate eligible employees about their UnitedHealthcare benefits.

 

Basic Plan Benefits - Click here for the Basic Plan Benefits Flyer

Dental Services In-Network Out-of-Network
Preventative and Diagnostic 100% 100%
Basic Services    
    Minor Restorative Scheduled Benefits Scheduled Benefits
    Simple Extractions Scheduled Benefits Scheduled Benefits
    Periodontics Scheduled Benefits Scheduled Benefits
    Endodontics Scheduled Benefits Scheduled Benefits
    Oral Surgery Scheduled Benefits Scheduled Benefits
Major Services    
    Crown & Bridge Scheduled Benefits Scheduled Benefits
    Dentures Scheduled Benefits Scheduled Benefits
Orthodontia - Adult & Child Not covered on this plan Not covered on this plan
Deductible $50/$150 $50/$150
    Annual Maximum $1,500 $1,500
    Waiting Period None None

 

Both the Enhanced and Basic Plans offers the following additional benefits:

Prenatal Dental Care Program

  • Members may receive additional services such as cleanings, deep scaling and periodontal maintenance during that period
  • Covered at 100%
  • Deductible does not apply
Oral Cancer Screening
  • One screening per benefit period
  • Adult members

 

Helpful Tools for Members at www.myuhc.com:

Dentist Locator *Select National Option PPO 30
  • Find general dentist and specialist
Plan Information
  • View benefit summary
  • Order an ID card
  • Answers to common dental questions about plans
Claims Information
  • Review claim status and history
  • Download a claim for Out-of-Network visits 

*If your dentist is not already part of UnitedHealthcare's network, nominations are accepted for admission to the network. Click here to access the Provider Nomination Form

DENTAL INSURANCE

UnitedHealthcare Customer Service: 1-877-816-3596

Policy #903022

VISIT MYUHCDENTAL.COM

 

FORMS & RESOURCES

Change Benefits

Manage (Add/Remove) Dependents

*Dental Insurance and Dependents can only be changed during Annual Enrollment or due to a qualifying event.

List of Qualifying Events

Modify/Change Personal Information (Name/Address)

enhanced plan document & fee schedule

Basic Plan benefit summary

basic Plan document & fee schedule

CLAIM FORM

provider nomination form

FAQ'S