United Concordia Dental has the following dental coverage plans available: Concordia Flex, Concordia Preferred, Concordia Plus, Value PPO Plan 1, Value PPO Plan 2, Value PPO Plan 3, and Value PPO Plan 4.
United Concordia Dental coverage plans
Concordia Dental PPO networks provide easy access to reputable dentists nationwide as well as discounts on covered dental care. When you see an in-network United Concordia dentist, certain preventive care services are partially or fully covered. You pay a coinsurance (a part of the covered costs) once you meet your annual deductible and satisfy waiting periods, and the dental plan covers the remaining costs (up to the yearly or lifetime dollar limit of the plan).
Concordia Flex is a traditional dental PPO designed with flexible, affordable program options. Both its in and out-of-network percentages are the same, it boasts a large network of dentists and specialists, has ongoing credentialing, professional oversight, pre and post payment controls, and grievance processing to ensure the highest quality of care, and assured cost savings through pre- and post- payment utilization reviews.
Concordia Preferred is an innovative dental PPO designed with network/non-network coverage for diagnostic, preventive, basic, major, and orthodontics services. It gives members freedom of provider choice and has significant cost savings when care is provided by network dentists. It boasts a large network of dentists and specialists, and has ongoing credentialing, professional oversight, pre and post payment controls, and grievance processing to ensure the highest quality of care and assured cost savings through pre- and post-payment utilization reviews.
This plan puts emphasis on prevention, early diagnosis, and treatment. It has stand-alone and dual-option dental programs available. Primary dentists coordinate all care including specialty referrals. It boasts a large network of dentists and specialists, and has ongoing credentialing, professional oversight, pre- and post-payment controls, and grievance processing to ensure the highest quality of care and assured cost savings through pre- and post- payment utilization reviews.
Value PPO Plan 1
A basic dental plan for younger employees and people in good oral health. Includes preventive coverage and discounts for basic and major services.
Value PPO Plan 2
A mix of preventive, basic and major dental coverage for adults and families, including Concordia’s popular Smile for Health®-Wellness add-on.
Value PPO Plan 3
A low-deductible plan for cost-conscious families. Provides preventive coverage plus basic services and discounts1 for the unexpected.
Value PPO Plan 4
Broader coverage for preventive, basic and major services such as fillings, extractions and crowns. Includes our Smile for Health®-Wellness add-on.
Looking for a dentist that takes United Concordia Dental PPO? We accept United Concordia Dental PPO.
United Concordia Dental tooth extraction cost coverage?
According to United Concordia Dental, an estimate of 80% of basic services like simple extractions are covered. The waiting period is 6 months. United Concordia considers tooth extractions as a basic dental service. That implies that they are insured by all of their plans, both individual and family plans.
United Concordia Dental covers Wisdom teeth removal?
United Concordia Dental covers an estimate of 50% of major dental procedures like wisdom teeth removal. The waiting period is 12 months. Certain United Concordia Dental insurance plans will also pay for post-operative care, including follow-up visits and prescriptions for painkillers. Before having your wisdom teeth removed, make sure you speak with your insurance provider to find out exactly what is covered by your plan.
Does United Concordia Dental cover X-Rays?
According to United Concordia Dental, routine dental x-rays are 100% covered while non-routine x-rays are 80% covered after plan deductible. United Concordia Dental covers 1 set of bitewing x-rays, which consist of radiographs/diagnostic imaging (including interpretation), in any 12 consecutive month period. This is limited to a maximum of 4 films per set.
United Concordia Dental covers Braces?
United Concordia Dental covers an estimate of 50%, up to the Lifetime Orthodontic Maximum (OLM) of $1,750. The age limitations on orthodontic care are children up to age 21, or age 23 if the student is a full-time student; spouses up to age 23; and National Guard/Reserve sponsors up to age 23.
Is Invisalign covered by United Concordia Dental?
Yes. United Concordia Dental does offer insurance plans that cover Invisalign and other orthodontic needs. You’ll need to review your coverage to confirm it is part of your current plan.
What does United Concordia Dental cover for dental implant?
United Concordia Dental Flex and Preferred and Plus Plans offer coverage for major restorative procedures like dental implants. Dental implants, implant abutments, and implant crowns for adult, adolescent, and transitional teeth may be covered by United Concordia Dental PPO policies. Before proceeding, it’s crucial to comprehend the kind of treatment you require and what your dental insurance plan will cover. For details, consult the United Concordia Dental plan handbook or contact our dental office.
Dental implant surgical implantation service is limited once each year, with replacement services limited to one implant surgical replacement per 10 years. Replacement is only allowed after 5 years if a prosthesis over an implant is unserviceable and cannot be fixed.
Does United Concordia Dental cover dentures?
According to United Concordia Dental, an estimate of 50% of major services like dentures are covered with a waiting period of 12 consecutive months. Partial dentures including routine post-delivery care are limited to 1 partial denture per arch every 84 consecutive months. However, a full or partial denture will not be covered in some policies unless it includes the replacement of a functioning natural tooth extracted while the person is covered under the plan (the removal of only a permanent third molar will not qualify a full or partial denture for benefit under this provision).
How much does United Concordia Dental cover for Veneers?
Unfortunately, United Concordia Dental insurance plans don’t provide coverage for cosmetic procedures. This consists of smile makeovers such as labial veneers (laminates), porcelain veneers, and acrylic veneers.
United Concordia Dental accepted for Gum Grafts?
Most oral surgeries, including gum grafting, are covered by United Concordia Dental up to an estimate of 50%. The waiting period is 12 consecutive months. Please contact us to learn more about what your plan might cover for your specific situation.
Does United Concordia Dental cover Cleaning and Tooth Fillings?
United Concordia Dental offers 100% or full coverage for routine cleanings with no waiting period. Coverage for dental prophylaxis or dental cleanings are allowed for 14 years of age or older once per 6 consecutive month period. On the other hand, fillings are estimated to be covered by 80% after plan deductible with a 6-month waiting period. Replacement of an existing composite filling is payable if at least 12 consecutive months have passed since the existing tooth filling was placed. This applies to the replacement of identical surface fillings only.
For latest information, please visit: https://www.unitedconcordia.com/plans-we-offer/group-plans/ppos-and-dhmos for more details.
DISCLAIMER: This information is subject to change on behalf of the insurance company. We are providing this as an informal guide to help you determine which services at our office are covered by your insurance. For more detailed information, please see the insurance company’s website or call the customer service or member services number listed on most insurance ID cards. Updated as of 06/12/2023. The above logo & trademarks are property of United Concordia Dental.