All students, regardless of whether they are enrolled in University Student Health Insurance Plan (U-SHIP), may enroll in optional dental and/ or vision coverage.
|
United |
Delta PPO |
|
Delta PPO |
Cigna DHMO |
Cigna DHMO |
|
Low Plan |
12 months |
|
6 months |
12 months |
6 months |
| Student |
$323.75 |
$611.64 |
|
$316.14 |
$240.24 |
$120.12 |
| Student + Spouse |
$647.50 |
$1215.72 |
|
$627.18 |
$453.48 |
$226.74 |
| Student + Children |
$787.90 |
$1235.64 |
|
$677.64 |
$460.68 |
$230.34 |
| Student + Family |
$1176.38 |
$2235.12 |
|
$1207.32 |
$813.96 |
$406.98 |
|
Delta Dental
|
UnitedHealthcare
|
Cigna
|
Plan Type
|
PPO Plan
|
PPO Low Plan
|
HMO Plan
|
Preventative/ Diagnostic Services: (routine exams, cleanings, x-rays)
|
100% |
100% |
100% |
Basic Services: (fillings, periodontics, oral surgery, endodontics, general anesthesia, emergency exams)
|
80% |
*Only fillings covered* |
fee per service |
Major Services: (implants, crowns, dentures, fixed/ removable bridges)
|
50% |
No Coverage |
fee per service |
Network Access
|
Delta Dental PPO & Delta Dental Premier |
United HealthCare National Options PPO 30 |
Cigna HMO |
Out-of-Network Coverage
|
Yes |
Yes |
No |
Plan Duration
|
6 or 12 months |
12 months |
6 or 12 months |
Maximum Annual Benefit
|
$2000 (12-month plan); $750 (6-month plan) |
$500 |
No Annual Maximum |
|
Delta Dental/EyeMed
|
UnitedHealthcare
|
Plan Type
|
Vision PPO Plan |
Vision PPO Plan |
Annual Eye Exam
|
$10 copay |
$10 copay |
Frame Benefit
|
$100 retail frame allowance |
$130 retail frame allowance |
Lenses (standard)
|
$25 copay |
$25 copay |
Contact Lenses (standard)
|
$0 copay (includes fitting and two follow up visits) |
$25 copay (includes fitting and two follow up visits) |
Network Access
|
EyeMed Vision Care |
UHC Vision |
Out-of-Network Reimbursements
|
Yes |
Yes |
Plan Duration
|
6 or 12 months |
12 months |
