Question 1

Do my employees need to enroll in a health plan in order to get a dental plan?

Accepted Answer

Each employee is free to choose the benefit options that work for them within their employer’s suite of plans. For example, they can elect no medical coverage and family dental or elect family medical and employee only dental.

Question 2

Do the dental plans include orthodontic (braces) coverage?

Accepted Answer

The plans listed on the site do not include orthodontic coverage. However, if your company has 10 or more employees we have many options available that include orthodontic coverage. Please contact the representative through the options listed on the site.

Question 3

Do I have to use an in-network dentist?

Accepted Answer

If you are considering a PPO plan, it is to your advantage to use a network dentists. However, you also have the option to go out-of-network. When using a network dentist you will enjoy the savings from our negotiated fees with our network dentists. For example, a dentist outside of the network may charge $1,000 for a crown while a dentist in the network may be capped at charging $800 for that same type of crown. By using an in-network dentist you would have lower out of pocket costs and be able to stretch your benefit dollars.

In CA, all plans listed require the use of network dentists. If you would like to see our many PPO options with out-of-network coverage please contact the representative through the options listed on the site.

Question 4

On a PPO plan, can I choose to use an out-of-network dentist and will I be required to pay up front for services?

Accepted Answer

Although we cannot require that a non-network dentist submit a claim to us on your behalf, most dentists will do so and we are happy to work with them. PPO plans can vary on out-of-network coverage. Plans that are paid at usual, customary and reasonable (UCR) will allow most dentist charges out of network. The plans paid at maximum allowable charge (MAC) out-of-network have more affordable premiums and the out-of-network allowable is lower and similar to our best network contracts in the area increasing the member out of pocket cost.

Question 5

How do I search to see if there are network dentists available near my home or work location?

Accepted Answer

There are links included on the site with your plan selection. In addition, dentist search tools are available on myuhc.com®, no logon required. Once registered, you will automatically connect to the network for your dental plan as well as provide additional benefit information, access to the treatment cost calculator and a history of claim activity.

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Questions about dental? We’ve got answers

Do my employees need to enroll in a health plan in order to get a dental plan?

Do the dental plans include orthodontic (braces) coverage?

Do I have to use an in-network dentist?

On a PPO plan, can I choose to use an out-of-network dentist and will I be required to pay up front for services?

How do I search to see if there are network dentists available near my home or work location?

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