Welcome to the Dental section of My Life at Children’s. Here you will find all the information you need about your dental plan options. Select an option from the menu at the left for more details.
2010 Plan Options
You have two dental plan options to choose from — the UnitedHealthcare Dental PPO and the Humana DHMO.
UnitedHealthcare Dental PPO
With the UnitedHealthcare Dental PPO option, you can see any dentist, but you will save money if you use an in-network provider. For some services, you will have to meet a deductible ($50/individual or $150/family) before the plan shares the cost with you. You may cover a same-sex domestic partner under this option.
Humana DHMO
With the Humana DHMO option, you must select and use a primary dentist from the Humana Safeguard network of dentists. This option does not require you to meet a deductible. You pay fixed copays depending on the procedure. A fee schedule is available under Resources at the left. You may not cover a same-sex domestic partner under this option.
What You Will Pay for Dental Care
The chart below shows what you will pay for care in each of the two dental plan options.
| |
UnitedHealthcare Dental PPO |
Humana DHMO |
| Annual Deductible |
$50
Individual |
$150
Family* |
$0 |
Preventive Services
Exams, cleanings, X-rays |
$0
(charges apply to Annual Maximum Benefit) |
$5
copay |
Basic Services
Fillings, extractions |
20%
After deductible |
Fixed copay — See fee schedule under Resources |
Major Services
Crowns, dentures |
50% After deductible |
Fixed copay — See fee schedule under Resources |
| Orthodontics |
Not covered |
$2,195 Member copay |
Annual Maximum Benefit
(The most the plan will pay each year per covered member) |
$1,500 Per person |
No limit |
| *The family deductible is applicable when three or more dependents are covered. The family deductible is met when three covered individuals each meet the $50 deductible. |
Find an In-Network Dentist
Humana DHMO
You cannot use your Humana DHMO benefits until you have enrolled with a network dentist as your primary care dentist. To enroll with a primary care dentist, you can call the contact number for the Humana DHMO plan option, Safeguard (see Contacts at the left).
To see a list of network dentists, you can visit the Safeguard Web site (see Contacts at the left) and click on Dental Directories. You may enter as a visitor. Choose the plan “SG185-TX.” Then you can search for dentists based on location. Please note that some of the dentists listed in-network may not be open to new patients. You have not enrolled with a Primary Care Dentist until you call Safeguard (see Contacts at the left).
UnitedHealthcare Dental PPO
To find an in-network dentist, visit the UnitedHealthcare Dental Web site (see Contacts at the left) and click on Locate Dentist. Select the plan name “Dental PPO.” You can then search by location, specialty or dentist name. With the UnitedHealthcare Dental PPO option, you can see any dentist, but you will save money if you use an in-network provider because they have contracted with UnitedHealthcare Dental to accept discounted rates for services.