United Healthcare Dental Plans

Plan Name:

Primary

Primary Preferred

Premier Choice

Premier Elite

  Plan Brochure Plan Brochure Plan Brochure Plan Brochure
Deductible: $50.00 $50.00 $50.00 $50.00
Preventative Care:

(See Plan Brochure)

You Pay: $25 copay (Deductible does not apply.) You Pay: $25 copay (Deductible does not apply.) You Pay: $0 You Pay: $0
Basic Services:

(See Plan Brochure)

You pay: 30% after deductible You pay: 30% after deductible You pay: 20% after deductible You pay: 20% after deductible
Major Services:

(See Plan Brochure)

Not Covered You pay: 50% after deductible You pay: 50% after deductible You pay: 50% after deductible
Orthodontics: Not Covered Not Covered Not Covered Not Covered
Waiting Periods: Preventative Care: None

Basic Services: 6 Months

Major Services: N/A

Preventative Care: None

Basic Services: 6 Months

Major Services: 12 Months

Preventative Care: None

Basic Services: 6 Months

Major Services: 12 Months

Preventative Care: None

Basic Services: 6 Months

Major Services: 12 Months

Annual Maximum: Plan Pays up to: $1,000 Per person, per calendar year. Plan Pays up to: $1,000 Per person, per calendar year. Plan Pays up to:

Year 1-$1,200

Year 2-$1,300

Year 3-$1,400

Year 4-$1,500

Per person, per calendar year.

Plan Pays up to:

Year 1-$1,200

Year 2-$1,300

Year 3-$1,400

Year 4-$1,500

Per person, per calendar year.

Optional Add On: Vision Vision Vision Vision
Application Fee: None None None None
Additional Comments:

*

N/A N/A N/A N/A