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Dental Plan

Dental Plan

In 2004-05, a group dental plan will be available to graduate assistants and fellows. It is not necessary to be enrolled in the GA/Fellows Insurance plan to purchase the dental plan. Beginning in 2005-06, the University will pay 80% of the premium for a dental plan for graduate assistants and fellows and 70% of the premium for spouses and children.

The dental plan provides coverage for a broad list of dental services. These services are divided into "preventive services," "basic services" and "major services." Preventive services are paid at 100% of charges, basic services are paid at 80% of charges and major services are covered at 60%. Participants receive the maximum benefit by using in network providers. There is an annual maximum of $1,000 applied separately to each covered participant. There is no coverage for orthodontics.

Preventive Services 100% Basic Services 80% Major Services 60%
Routine Examinations (two per calendar year) Basic Restorative Inlays**
Cleanings (two in any calendar year) Space Maintainers Onlays**
Fluoride Treatment (one in any calendar year) Palliative Emergency Treatment Crowns**
Bitewing X-rays (twice in any calendar year) Full Mouth X-rays*  Prosthodontics***
  Simple Extractions**  
  Endodontics**  
  Repair Broken Dentures**  
  Periodontics**  
  Oral Surgery**  

* Full Mouth X-rays are covered once in any 36 consecutive months
**Indicates a 12-month waiting period before services will be covered
***Indicates a 24-month waiting period before services will be covered

2004-05 GA/Fellows Dental Plan Rates

Payment Options Effective Dates Individual Family
Annual 9/1/2004 - 8/31/2005 $300.92 $783.92
Fall 9/1/2004 - 12/31/2004 $103.64 $264.64
Spring/Summer 1/1/2005 - 8/31/2005 $202.28 $524.28

How to access provider information

To locate a UCCI participating provider in your area, visit www.ucci.com or call 1-800-423-8217. If you are outside Centre County, use the ParNet Network to find participating providers. For those using Centre County dentists, below is a listing of those who participate in the Nittany Dental Network a participating provider network.

General Dentists

Oral Surgeons

Please contact United Concordia or the provider to confirm participation.

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