Benefits

Dental

All UA Choice plans provide coverage for preventive, restorative and prosthetic dental services, described below.

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.

   Dental Benefits                   750 Plan

High Deductible Plan (HDHP) and

Consumer-Directed Health Plan (CDHP)

Annual Deductibles  
 Preventive $0 $0
Restorative$25$50
Prosthetic$25 (combined with restorative)$50 (combined with restorative)
Coinsurance  
Preventive100%80%
Restorative80%80%
Prosthetic50%50%
Annual Maximum$2,000$2,000
Orthodontia50% up to $1,500 lifetime maxnot covered
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