United Concordia’s FEDVIP offers the dental coverage you need to keep you and your family smiling for a lifetime.
Our plan covers:
- Diagnostic and preventive dental care (routine cleanings and exams)
- Intermediate and major services (fillings and crowns), with no waiting periods
- Emergency treatments
- Orthodontics for dependents
In addition, you enjoy quality dental care from a United Concordia network dentist and out-of-pocket savings for you and your family.
Remember! Members must use a United Concordia National Fee-for-Service Network dentist. In general, services provided by non-network dentists are not covered. However, there are a few exceptions, including emergency and overseas care. |
| 2008 Benefit Summary |
| Plan Design1 |
Plan Pays2 |
You Pay |
|
|
| Diagnostic Services |
Checkups |
X-rays |
| Preventive Services |
Cleanings |
Fluorides |
Sealants |
Space Maintainers |
| Emergency Care |
Dental Accident Services
|
|
100% |
0% |
|
|
| Minor Restorative Services |
Fillings |
Stainless Steel Crowns through age 14 |
| Endodontic Services (Nonsurgical) |
Pulpal Therapy |
| Periodontal Services (Nonsurgical) |
Periodontal Scaling, Root Planing |
Periodontal Maintenance |
| Prosthodontic Services (Miscellaneous) |
Denture Repair |
| Oral Surgery |
| General Anesthesia |
| Consultations |
| Miscellaneous Services |
|
80% |
20% |
|
|
| Major Restorative Services |
Crowns, Inlays, Onlays |
Posts, Cores |
Single Implant Crowns |
| Surgical Endodontic Services |
Root Canals |
Apicoectomies |
| Periodontal Surgery |
Gingivectomies |
Osseous Surgery |
| Prosthodontic Services |
Posts, Cores |
Dentures |
Bridges |
|
50% |
50% |
|
|
| Diagnostic, Limited, Interceptive, Comprehensive, Retention Treatments |
50% (Dependents to 19) |
|
|
| Medications - Therapeutic Drug Injections |
Eligibility related to
above covered services |
|
|
| Annual Program Deductible (Excludes Classes A and D) |
$25 per person / $50 per family |
| Annual Program Maximum (per person) |
$1,200 |
| Lifetime Orthodontic Maximum (per person) |
$1,500 |
| Dental Accident Lifetime Maximum (per person) |
$2,000 |
|
1. Please review the 2008 United Concordia program guide for a full explanation of plan benefits including exclusions and limitations. You can access it on the Forms & Publications page.
2. Plan covers services provided by National Fee-for-Service Network dentists only, except for emergency and international care.
3. 24-month waiting period for Class D services.
2007 Benefit Summary
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