Dental
 All UA Choice plans provide coverage for preventive, restorative and prosthetic dental services, described below.
Coverage
The chart below details dental coverage and deductibles under the deluxe, standard and economy plans.
Claims/Coverage Questions
The Blue Cross customer service number is (800) 364-2982 and the TDD for the hearing impaired is (800) 842-5347. Claims information and other health resources are available on the Blue Cross site. Members create their own user ID number and password when they register. To register, however, requires a six-digit PIN number. If you do not have one, call (800) 722-9780 for help.
Major Categories of Dental Work
Preventive work: includes oral exams and cleanings, X-rays for diagnosis, and fluoride treatment and sealants for dependents ages 15 and younger
Restorative work: includes temporary and permanent fillings, extractions, periodontal exams, root canal therapy and the repair and recementing of crowns, inlays, bridgework and dentures
Prosthetic work: includes inlays, onlays, gold fillings and crowns, the initial installation of dentures, replacement inlays, onlays, crowns and fixed bridgework under certain conditions
For greater detail about what is covered, check The Handbook (pdf). No matter which plan you choose, you may see any licensed dentist for your care. Consider using a flexible spending account to help pay for dental care.
UA Choice Dental Coverage Comparison
| Dental Benefits |
Deluxe Plan |
Standard Plan |
Economy Plan |
| Annual Deductibles |
| Preventive |
$0 |
| Restorative |
$0 |
$25 |
$50 |
| Prosthetic |
$0 |
$25 (combined with restorative) |
$50 (combined with restorative) |
| Coinsurance |
| Preventive |
100% |
80% |
| Restorative |
80% |
| Prosthetic |
50% |
| Annual Maximum |
$2,000 |
| Orthodontia |
$1,500 lifetime max |
not covered |
|
