UNITEDHEALTHCARE HIGH PPO MAC

UNITEDHEALTHCARE HIGH PPO MAC

UnitedHealthcare dental plans will help you save money and help keep your teeth and gums healthy. The health of your mouth can affect your total health. That’s why it’s important to have a dental plan that covers preventive care, covers hundreds of services and encourages healthy dental habits.

UNITEDHEALTHCARE HIGH PPO MAC

Rates are for new and renewing groups effective 10/1/2021 — 12/1/2021

PLAN RATES (MONTHLY)

Employee
$53.23
Employee/Spouse (DP)
$106.21
Employee/Child(ren)
$104.84
Family (DP)
$164.73

PLAN HIGHLIGHTS

  • No referrals to see a specialist
  • Preventive and diagnostic care like exams, cleanings and x-rays won't apply to the annual maximum
  • $50 deductible /$100 deductible family (calendar year)
  • $2,000 both In and Out-of-Network annual maximum
  • Out-of-Network reimbursement is MAC (Maximum Allowable Charge) which is based on participating provider contracted fees
  • Implant and orthodontic benefits
  • Consumer MaxMultiplier® rewards for dental care by adding dollars to next year’s maximum

Dental coverage can only be elected by a group enrolling in HealthPass medical coverage.
The following billing and administrative fees apply to the UnitedHealthcare PPO plan: EE $9.25, EE/Spouse $18.25, EE+Child(ren) $16.50, Family $26.50.
Rates are subject to final verification at the time of enrollment.


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