Dental & Vision

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 Vision PPO (12 Months) Delta Vision PPO (6 Months) UnitedHealthcare
Student $78.36 $43.56 $136.80
Student + Spouse $156.60 $87.00 $259.32
Student + Children N/A N/A $304.20
Student + Family $234.96 $130.56 $427.92

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

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