Page 12 - 2022 Washington Nationals Flipbook

DENTAL PLAN

Group Number 280490

You save money when using providers who
It’s important to have regular dental
participate in United Concordia’s Elite Plus

exams and cleanings so problems are Network, as out of network providers can bill
detected before they become painful— over maximum allowable charge that United

and expensive. Keeping your teeth and Concordia will allow which means that the
provider may bill you the difference.
gums clean and healthy will help prevent
most tooth decay and periodontal To check for participating providers, go to:

disease, and is an important part of
maintaining your medical health. www.unitedconcordia.com

The Washington Nationals’ dental plan is

through United Concordia. You do not
need to elect medical in order to enroll in PROVISION In-Network Out of Network
dental coverage. Your benefits will be

available the 1 of the month following 30 Annual deductible $50/$150 $50/$150
st
days of employment. Individual/Family

Annual Maximum per
Your dental plan provides coverage for person $1,500 $1,500
routine exams and cleanings and pays for
a portion of other services, as shown in Diagnostic and Preventive,
to include cleanings,
the displayed table chart: fluoride treatments, 100%, no deductible 100%, no deductible
sealants and x-rays
Basic Services to include

fillings, periodontics, scaling 80%* 80%*
and root planning, oral
surgery

Major Services to include
crowns, bridges, full and 50%* 50%*
partial dentures
Orthodontia (Child only up 50%*; $1,000 lifetime 50%*; $1,000 lifetime
to age 26) maximum maximum
*After deductible is met.

The above is a brief summary of this benefit option.

Click here for more detailed information on this available benefit option.

2022 Washington Nationals Benefit Guide Page 12