Dental Plans
United Concordia Companies, Inc. administers our dental programs. Our dental options include two dental PPOs and a dental HMO (DHMO).
To access services, present your United Concordia ID Card to your dentist. There is no special claim form; your dentist should use a standard American Dental Association claim form. The PPO plans include the Smile for Health [pdf] feature, which provides enhanced maternity and preventive dental services coverage.
Eligibility
You must be full-time benefits eligible (37.5 scheduled hours per week) to enroll. Members of the Campus Police Association must be scheduled to work 40 hours per week to be full-time benefits eligible.
You must reside in Pennsylvania, Ohio or New Jersey to participate in the DHMO plan.
Dental Plan Comparison
View United Concordia's Dental Coverage Comparison [pdf] for more detail.
|
DHMO |
Standard PPO |
Enhanced PPO |
|
| Provider Network ¹ |
DHMO Concordia Plus | Alliance | Alliance |
| Primary Care Dentist & Referrals Required | Yes | No | No |
| Deductible (individual/family) | None | $50 / $150 | $25 / $75 |
| Annual Maximum² Excludes diagnostic and preventive services, orthodontics, implants |
Not applicable; orthodontia is limited to dependents under 19; implants are not covered |
$1,500 per person, per year | $2,000 per person, per year |
| Lifetime Maximum² Orthodontics/implants |
Not covered | $2,000 for orthodontics; $4,000 for implants | |
| Plan Document/ Schedule of Benefits |
DHMO Certificate of Coverage [pdf] | Standard PPO Certificate of Coverage [pdf] | Enhanced PPO Certificate of Coverage [pdf] |
¹Ask your dentist they participate in the network or contact UCCI at 800-423-7461. If your dentist does not participate in the UCCI plan, you can nominate them at the UCCI website.
²Annual maximum and lifetime maximum are amounts that the plan pays and are per person.
Primary Care Dentist Election
For United Concordia DHMO Participants
Except for certain emergency situations, the United Concordia DHMO requires that you use dental providers within its network. If you use providers outside of the DHMO network, no benefits will be paid. You are also required to designate a Primary Care Dentist who will coordinate your dental care. If you do not select one, one will be assigned to you based on your home address.
To designate your Primary Care Dentist, please enter the United Concordia Provider ID code in the Employee Provider ID field in Workday when enrolling in your benefits. For your dependents, if applicable, enter their United Concordia Provider ID code in the Dependent Provider ID field.
You can locate your dentist's Provider ID code on the website. To search for a dentist, choose the DHMO Concordia Plus General Dentist network. Once you have found your selected dentist, click on the name of the dentist to find the Provider ID code.
Carrier Resources
- 800-423-7461
Group Numbers
- Standard PPO: 846327-100
- Enhanced PPO: 846328-100
- DHMO: 846329-000
- For PPOs, search Alliance
- For DHMO, search DHMO Concordia Plus General Dentist (or DHMO Concordia Plus Specialty Dentist for a specialist)