Overview
UHC DHMO
Covers only in-network providers and is only available in certain locations.
UHC Low Plan
You’re free to select the dentist of your choice. However, you’ll pay less when you choose a network provider.
UHC High Plan
A dental plan with higher contributions and benefits, including orthodontia for children up to age 26. You’re free to select the dentist of your choice. However, you’ll pay less when you choose a network provider.
Key features at a glance
All dental plans provide:
Free in-network preventive and diagnostic care to help keep your teeth healthy. Note: With UHC DHMO, there’s a $5 office visit fee, and then most preventive care is free.
Affordable coverage that helps you manage the cost of dental treatment.
Wide network of providers that have agreed to negotiated rates, which helps you save money.
Find a network dentist
With the Low and High plans, you may choose to see any in- or out-of-network dentist you’d like, but you’ll generally pay less when you stay in network. With the UHC DHMO plan, you must receive care from an in-network dentist. Visit UHC to find an in-network provider near you.
Plan Comparison
Coverage details | UHC DHMO | UHC Low Plan | UHC High Plan |
---|---|---|---|
Coverage details Required to see a participating provider? | UHC DHMO Yes | UHC Low Plan No | UHC High Plan No |
Coverage details Deductible Employee only Family | UHC DHMO N/A | UHC Low Plan $50 $150 | UHC High Plan $50 $150 |
Coverage details Annual maximum benefit per person | UHC DHMO N/A | UHC Low Plan $1,500 | UHC High Plan $2,000 |
Coverage details, UHC DHMO, UHC Low Plan, UHC High Plan Services | |||
Coverage details Preventive (exams and cleanings) | UHC DHMO Flat fee per procedure | UHC Low Plan 100% covered | UHC High Plan 100% covered |
Coverage details Basic (X-rays, fillings, simple extractions) | UHC DHMO Flat fee per procedure | UHC Low Plan You pay 20% | UHC High Plan You pay 20% |
Coverage details Major (crowns, dentures, bridges) | UHC DHMO Flat fee per procedure | UHC Low Plan You pay 50% | UHC High Plan You pay 50% |
Coverage details Orthodontia | UHC DHMO Flat fee per procedure | UHC Low Plan Not covered | UHC High Plan For covered children up to age 26: You pay 50%; separate $1,500 lifetime maximum |
Note: In-network services are reimbursed based on the negotiated fee, and out-of-network services are subject to reasonable and customary limits.
Use your dental benefits wisely
Here’s how to make the most of your dental benefits:
Present your plan identification. Plan ID cards are not required for any of the plans. However, your provider may ask for your Social Security number to verify your coverage.
Submit for a pretreatment estimate. With the UHC plans, you should submit a request for a pre-treatment estimate for procedures and services your dentist believes will exceed $300 (procedures such as crowns, inlays, bridges, and periodontics). For more information, visit UHC.
Check your claim status. You can review Explanation of Benefits (EOB) statements, check if claims have been paid, and more through UHC.
Last updated date: 10/22/2024