Dental United Healthcare – Original Medicare does not offer routine dental benefits. But, for 2023, all People’s Health Medicare Advantage plans include coverage for routine dental services, including oral exams and cleanings, X-rays, and comprehensive care, such as fillings and dentures.
All People’s Health plans offer both in-network and out-of-network dental coverage, although services obtained outside the network may result in higher member costs.
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For assistance with finding a provider, please use the Dental Provider Search Tool at UHCMedicareDentistSearch.com. Select the *National Medicare Advantage Network from the Select Network drop-down menu, then input other search criteria as desired.
Dental Provider Portal
If you are a member of a People’s Health plan and have questions about your dental benefits or need help finding a dentist, contact People’s Health Member Services.
Most members of the People’s Health Plan* have dental benefits that include both preventive and comprehensive dental services. (Deductibles and coverage limits apply. Copays vary.)
Our network of dentists is offered by Dina Dental. To find a network dentist, use the Dina Dental online provider search (via the FCL Dental website).
If you are a People’s Health member and need help finding a dentist or have questions about dental costs, call Dina Dental toll-free at 1-866-803-1672, seven days a week , from 8 a.m. to 8 p.m. TTY users can call 711. If a DINA dental representative is not available to take your call during this time, you will be transferred to Peoples Health member services.
United Healthcare Dental Insurance Plans Are Accepted
If you have general questions about dental services covered by People’s Health plans, contact People’s Health Member Services.
All People’s health plans include dental benefits provided by UnitedHealthcare Dental. This benefit includes a $0 dental deductible up to the plan-specific maximum benefit amount and $0 reimbursement for preventive and comprehensive dental services received in-network. *UHC is the largest single healthcare provider in the country. Thus, they provide great options for dental insurance for Indiana residents. Our Rating: ★★★☆☆
More dentists in the provider network means you’re more likely to keep the same dentist you use today and have coverage available even when you travel. The network provider agrees to accept the fixed rate.
Your eyes are also an important part of your health. You can also add vision benefits (available for an additional premium in most areas) to your dental plan. Coverage for eye exams for contact lenses. Add it today for extra coverage.
Unitedhealthcare Enhances Integration Of Medical And Specialty Benefits, Helping Improve Health Outcomes And Affordability
Preventive care has no waiting period and, depending on the design of the plan, you pay a $25 copayment or nothing. For basic and major services, there is a maximum of 3 individual $50 deductions per household per calendar year. Our Premier plans offer combined deductibles for basic and major services – especially helpful for large families.
No age limit means that even people covered by Medicare can apply. Good dental health is important at any age. We have plans to suit your age and stage of life.
UHC offers four plan designs. “Primary” plans have lower maximum benefits (annual payment limits), while “Premier” plans have higher benefits that increase over time. Among them, you can choose a plan that suits you better depending on whether your doctor is in-network or not.
All Plans: Preventive Services Preventive services are covered without deductible, co-insurance, or waiting period. Dental Primary and Dental Primary Preferred have a copayment of $25 for preventive services.
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Primary Preferred, Premier Choice, and Premier Elite plans only: Major Services (Limited in Policy) Major services are covered subject to deductible, co-insurance, and waiting period. Not available with all plans. Major services have a waiting period of 12 months. • Root Canal – Limit 1 time per tooth, per lifetime. • Treatment of gum disease. • Crowns – Limit 1 per tooth, per 60 months. • Surgical extraction. • Complete Dentures – Limited to 1 per 60 months. • Bridge – limited to 1 time per tooth, per 60 months. • Repair of Crowns, Dentures and Bridges. • Oral surgery. • Inlay/Onlay – Limit 1 per tooth, per 60 months.
Change of residence or incorrect description (address) You must notify us within 60 days of your change of residence. Your premium based on your new residence will start from the first due date after the change. If you give incorrect details of your residence on the application or fail to inform us about the change of residence, we will apply the correct premium for that residence on the first due date of your residence. If the change results in: a lower premium, we will refund any excess; The higher the premium, the more you have to pay us.
Network providers have agreed to discounted pricing for covered expenses without any additional billing to you other than co-pay, co-insurance and deductible amounts. You can find out more about: 1) the location of providers by calling the toll-free telephone number on your ID card (or at myuhc.com); and 2) out-of-pocket expense information by calling the claim number listed on your ID card. Premium You will be given at least 31 days’ notice of any change in your premium. We will not make any change in your premium merely because of claims made by a person covered under the policy. Reimbursement If the dental services are due to acts or omissions of any third party, we reserve the right to reimburse you to the extent of the benefits paid for the dental services as mentioned in the policy. The term of the renewal policy starts from the effective date of the policy. You can keep the policy in force by paying the required premium to us as and when due. Your policy is automatically renewed as long as the premium is paid. However, we may cancel the policy if fraud or material misrepresentation is committed by or with the knowledge of a covered person in filing a claim for benefits. Termination The policy will terminate: • If you fail to pay the premiums when due, subject to the grace period defined in the policy; • the date you make the request; • If we decline to renew all policies issued on this form with the same type and level of benefits in your state of residence; OR • On the date of your death, if your spouse is not covered under this plan.
Dependent Eligible dependents are your legal spouse and eligible children. Eligible children must be unmarried (and must be under 26 years of age at the time of application. Effective Date
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For applications sent electronically, the effective date shall be the later of the following: (i) the requested effective date; or (ii) the day following receipt by Golden Rule Insurance Company (GRIC). For mailed applications, the effective date shall be the later of: (i) the requested effective date; or (ii) the U.S. The day following the date of the postmark affixed by the Postal Service. If the U.S. mailed by postal service and not postmarked or if the postmark is not legible, the effective date shall be the later of the following: (i) the requested effective date; or (ii) the date received by GRIC. Health insurance for dental expenses If a covered person has other dental or health insurance that pays for expenses covered by the policy, we will not pay until we determine that What benefits are already provided by the second policy. Our payment will be reduced by the amount paid by other plans. Non-Network vs. Network Providers WARNING: You will pay more for non-emergency services using non-network providers. Non-network providers may bill you any amount, up to the amount billed after the plan has paid your share. Your benefit payment basis will be determined according to the non-network provider reimbursement of your policy.
• Replacement within 60 consecutive months of last placement for complete and partial dentures, and replacement within 60 consecutive months of last placement for crowns, bridges, inlays, onlays and veneers. This exclusion does not apply if replacement is necessary because of the removal of a working natural tooth; or the current crown, bridge, or denture is temporary and a permanent crown, bridge, or denture is installed within 12 months from the date the temporary is installed. • Replacement of crowns, bridges, dentures, and fixed or removable prosthetic appliances fitted prior to plan coverage, unless the covered person has been insured under the plan for 12 consecutive months. If the loss of a tooth requires the addition of a clasp, pontic, and/or abutment(s) within this 12-month period, dental services associated with the addition will be covered when the service is a covered There is expenditure. • Replacement of complete dentures, fixed and removable partial dentures or crowns if damage or breakage was directly related to provider error. This type of replacement is the responsibility of the dentist. If replacement is necessary due to non-compliance by you or your dependents, you will be liable for the cost of replacement. • Fixed or removable prosthodontic restoration procedures for complete oral rehabilitation or reconstruction. Telehealth resources are becoming increasingly important in the response to COVID-19, with teledentistry playing an important role in helping people maintain proper oral health and avoid potentially unnecessary trips to the emergency room. (Graphic: Business Wire)
MINNETONKA, Minn.– (BUSINESS WIRE) – UnitedHealthcare continues to develop its products and services to improve access to oral care while lowering dental costs. Latest offerings include
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