Dental Plan
Catholic Diocese of Columbus offers two dental plans to choose from. Both dental plans allow youto seek treatment from the dentist of your choice, in or out-of- network.
You will get the most value out of your plan by using UHC’s network providers, who cannot charge more than their negotiated, discounted rate. While the plan covers treatment from out-of- network providers, excess charges may not be covered. The chart below shows how the plan works and how each type of service is covered. This is a brief summary; please refer to your benefit booklet for complete details.
| Dental Plans | Base Plan | Enhanced Plan |
|---|---|---|
| Coverage Overview | In / Out of Network | In / Out of Network |
| Deductible (Individual / Family) | $0 / $0 | $0 / $0 |
| Annual Maximum Per Person | $1,500 | $2,000 |
| Dental Coverage | ||
| Basic Services | 50% / 50% | 80% / 70% |
| Preventive Services | 100% / 100% | 100% / 90% |
| Major Services | 50% / 50% | 50% / 50% |
| Orthodontia Coverage | ||
| Orthodontia Services (Adults & Children) | 50% / 50% | 60% / 50% |
| Orthodontia Eligibility (child to age 26) | Adults & Children | Adults & Children |
| Orthodontia Lifetime Maximum | $1,500 | $2,500 |

