Dental Insurance
Summary and plan information
Regular full time and regular part time employees are eligible to participate in the dental insurance plan, subject to the waiting period and other eligibility qualifications. In general, these employees become eligible to participate in the university's dental insurance plan effective on the first of the month following one (1) month of employment in a benefit eligible position. Dental insurance premiums may be deducted on a pre-tax basis.
Employees will be provided detailed information about this benefit as they become eligible. The specific eligibility requirements and provisions of coverage are detailed in the summary plan documents which are available at HRConnection. These and other plan documents will be the final determinant of eligibility and coverage.
|
Services |
Plan Option 1 |
|
|
In-Network |
Out-of-Network |
|
|
Preventive Services Exams Cleanings, X-rays |
100% |
90% |
|
Deductible Applies to basic and major services only |
$50.00 per person per calendar year $100.00 family maximum |
$50.00 per person per calendar year $100.00 family maximum |
|
Basic Services Amalgam fillings, simple extractions, non-surgical periodontics, endodontics |
You pay the deductible, then 20% |
You pay the deductible, then 30% |
|
Basic Services II Surgical periodontics, complex surgical extractions, white fillings |
You pay the deductible, then 50% |
You pay the deductible, then 60% |
|
Major Services Oral surgery, root canal, crowns, implants |
You pay the deductible, then 50% |
You pay the deductible, then 60% |
|
Annual Maximum |
$1,000.00 per person per calendar year |
$1,000.00 per person per calendar year |
Contact
HealthPartners
952-883-5000 or 800-883-2177
