UVM pays 100% of the premium for the base-level dental plan for benefits-eligible employees and their families.
Overview
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The base plan includes 100% coverage for preventive care (dental cleanings), as well as a cost share for minor and major restorative work and orthodontia care.
A high option plan is also available at a cost to the employee. The high option plan provides higher plan coverage amounts for major restorative work and orthodontic care. The employee pays the cost difference between the base and high option coverage as a monthly premium.
Coverage by Plan Level
| Coverage | Base Option | High Option |
|---|---|---|
| Deductible | $25 individual/ $75 family - Applies to Coverage A - D | $25 individual/ $75 family - Applies to Coverage B - D |
| Calendar Max (per person) | $750 | $2,000 |
| Coverage A – Preventative (e.g. exams, cleanings, x-rays) | 100% | 100% |
| Coverage B - Minor Restorative (e.g. root canals/fillings/crowns/extractions) | 80% | 80% |
| Coverage C - Major Restorative (e.g. implants/bridges) | 50% | 60% |
| Coverage D (Orthodontics lifetime limit) | 50% up to $500 | 50% up to $1,500 |
Premium Rates
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| Plan Option | Employee | Employee + Spouse | Employee + Children | Employee + Family |
|---|---|---|---|---|
| Base | $0 | $0 | $0 | $0 |
| High Option | $10.75 | $21.29 | $23.31 | $34.55 |