Dental Benefits
Administered by United Healthcare
| Services | United Healthcare High Plan | United Healthcare Low Plan | ||
|---|---|---|---|---|
|
Annual Deductible (Basic & Major Services) |
||||
| Individual | $50 | $75 | ||
| Family | $150 | $225 | ||
| Preventive Services | 100% | 80% | ||
| Basic Services | Plan pays 80% | Plan pays 80% | ||
| Major Services | Plan pays 50% | Plan pays 50% | ||
| Annual Benefit Maximum | $2,000 | $1,500 | ||
|
Orthodontic Services (child only) |
50% | 50% | ||
| Orthodontic Deductible | $0 | $0 | ||
| Orthodontic Lifetime Maximum | $1,000 | $1,000 | ||




