The premium for single or family Dental Assistance coverage is paid for entirely by the University. Reasonable and Customary Charges are those charges customarily made for similar services by dentists or physicians in the locality concerned. There is no deductible for Preventive services. The amount of benefits available toward each covered expense is listed in a Schedule of Benefits, which is printed in the Dental Assistance Plan Brochure. Once this deductible has been satisfied, eligible family members can receive benefits for the rest of the year according to the Schedule of Benefits.
Individuals select their own dentist.
There is no lifetime maximum. An explanation of how the benefits are computed will accompany the payment. To receive a Predetermination of Benefits under the Dental Assistance Plan, a claim form requesting such a predetermination needs to be completed by the individual and the dentist and submitted to the insurance company. If there is a choice of treatments or supplies, all meeting acceptable dental standards, the insurance company will pay for the least costly procedure according to the Schedule of Benefits. A Coordination of Benefits provision is provided in the plan.