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With the Dental PPO, you can see any dentist you want, anywhere across the country. When you choose a dentist who is part of the plan’s large national network, you receive discounted rates only available to members.
Referrals are not needed to see a network specialist.
Preventive care, including routine exams and cleanings, is most often covered when you see a network provider.
Additional wellness benefits available with this plan include extra benefits during pregnancy and for three months after delivery, oral cancer screenings for adults, and teledentistry coverage to provide a clinical consultation 24/7 up to 2 times per every 12 months.
Compare to help find the right dental plan
Our comparison chart helps you find your best fit by listing important plan benefits side-by-side.
Summary
| Network | Out-of-Network | |
|---|---|---|
| Individual | $25 | $75 |
| Family | $25 | $75 |
| Network | Out-of-Network | |
|---|---|---|
| Individual | $500 | $500 |
| Family | $500 | $500 |
| Network | Out-of-Network | |
|---|---|---|
| Routine Exams and Evaluations | 100% Covered | 100% Covered |
| Cleanings | 100% Covered | 100% Covered |
| Labs and Other Diagnostic Tests | 100% Covered | 100% Covered |
| Network | Out-of-Network | |
|---|---|---|
| Individual | $25 | $75 |
| Family | $25 | $75 |
| Network | Out-of-Network | |
|---|---|---|
| Individual | $500 | $500 |
| Family | $500 | $500 |
| Network | Out-of-Network | |
|---|---|---|
| Routine Exams and Evaluations | 100% Covered | 100% Covered |
| Cleanings | 100% Covered | 100% Covered |
| Labs and Other Diagnostic Tests | 100% Covered | 100% Covered |
Are your providers in network?
Find out if your dental care provider is in the network.
Coverage highlights
Cost sharing
Most dental plans share the same idea: there’s what you pay for care, when you pay for it, and how much of those care costs you and your plan share.
You pay a deductible
For services other than preventive care, you pay a deductible - a set dollar amount - before your coverage kicks in.
You pay coinsurance
As soon as the deductible is met, you and the plan will share the costs of services you received. Known as coinsurance, this is the percentage of costs you pay for covered dental care.
Your plan pays until it reaches the annual maximum
The plan pays for services up to a set dollar amount, called an annual maximum. If you reach the maximum amount, you’ll need to pay the entire cost of any additional dental care you receive that year.
Dental programs
Getting regular preventive care is important to maintaining good oral health. With this in mind, our dental plan programs are designed to help you keep your teeth and gums health while also helping you control costs.
24/7 Virtual dental visits
With virtual dental visits — also called teledentistry — there’s an easier way to see a dentist without going to the dentist’s office. Use virtual dental visits to:
- Get two virtual dental visits at no additional cost to you. These virtual visits are in addition to the routine in-person exams included in your plan. You may need to pay an out-of-pocket cost for additional visits.
- Connect with a state-licensed, fully credentialed dentist by computer or mobile device — so you can get the care you need whenever, wherever
- Get a second opinion, treatment options or a medically necessary prescription
- Consult with a dentist on a variety of nonemergency dental conditions, from oral pain to orthodontia needs, and more
Important: Data rates may apply. Dental virtual visits are currently unavailable in Maine and Texas. Services may not be available in all states or for all lines of business.
FlexAppeal Enhanced Program
Extra cleanings and gum care
As part of this dental plan, the FlexAppeal Enhanced program is designed to help you keep your teeth and gums healthier by including these three benefits:
- Additional cleanings or gum treatments if you’ve been treated for a periodontal (gum) condition. Your dentist will advise you on the need for this.
- White fillings for back teeth
- Dental implants to replace missing teeth due to injury or disease
Consumer MaxMultiplier Program
Extra dental care dollars
Included with this dental plan, our Consumer MaxMultiplier® program rewards you for keeping up with your dental care by adding dollars to next year’s annual maximum. Here is how it works:
- You and each covered family member can qualify and earn your own awards by visiting the dentist at least once during the plan year. Your dental claims must also be less than the amount set by the plan.
- Award dollars will help pay for claims that go beyond your annual maximum
- Any unused award dollars can roll over each year
You will not actually earn cash that you can access or withdraw. UnitedHealthcare adds those award dollars to your annual maximum for the following year and applies them to qualifying claims.
Preventive MaxMultiplier
All PPO Dental Plans include Preventive MaxMultiplier®. This excludes the cost of preventive and diagnostic care from the entire annual maximum benefit so that you can have the entire maximum benefit left for other dental care services.
*The DHMO plan does not include this benefit.
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