Active Member Info: Dental Plan
Options
- United Concordia's Dental PPO (effective January 1, 2006)
- Concordia Plus (managed care dental plan)
The Dental Program permits you and your eligible dependent(s) to obtain required dental treatments through either United Concordia's Dental PPO (a traditional fee-for-service dental plan) or through Concordia Plus (a managed care dental plan). A change between options may be made only during the annual dental open enrollment; however, all members of a family must be enrolled in the same option.
Fee-for-Service Dental Plan
United Concordia's Dental PPO
The United Concordia's Dental PPO plan uses a panel of participating dentists. You have the choice of using a participating or non-participating dentist. Claim forms are available at a participating provider office. United Concordia also accepts any standard dental claim form. Your dentist will complete an examination and recommend needed treatment.
Managed Care Dental Plan
Administered by Concordia Plus
As a managed care participant, you must select the dentist or dental group you wish to provide dental services to you and your eligible dependent(s). You may select a Primary Dental Office for you and each of your family members. A list of Concordia Plus dental offices appears in the Publications/Forms section of this web site.
With the exception of some copayments, the managed care dental plan covers, in full, the eligible dental services you receive, including the services of a specialist, if such services are authorized by your primary dentist.
NOTE: You must receive all care from your primary dentist or from specialists authorized by your primary dentist to perform services for you (written referrals must be obtained). Any services obtained by a dentist other than your primary dentist, or by a referral coordinated by someone other than your primary dentist, will not be eligible for payment.
For more information, refer to your Summary Plan Description or contact PEBTF.
