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WELLNESS REWARDS PROGRAM DENTAL PLAN OPTIONS
United Healthcare’s SimplyEngaged Rally Rewards Program rewards you for building healthy habits. Employees UNITED CONCORDIA PPO DENTAL PLAN
and their covered spouses on the United Healthcare medical plans can participate to track your physical activity United Pacific is offering a Preferred Provider Organization (PPO) dental plan through United Concordia. This PPO
and earn rewards like gift cards and gym reimbursements. To access this tool, log in to www.myuhc.com and click dental plan allows you the flexibility to visit dentists that are inside and outside of the United Concordia network.
When you utilize a “Network” dentist, your out-of-pocket expenses are typically less than using a “Non-Network”
on the Rally Health Survey button to create an account.
dentist. Staying in the network allows you to benefit from the negotiated network rates. You may obtain services
using a non-network dentist, however, you may be responsible for additional charges or even filing claims.
Available Rewards:
• Biometric health screening—learn your numbers $75 Reward
• Complete online health survey within 90 days of starting the program $25 Reward
• Visit participating fitness center at least 12 times per month $20 / Month
• Complete a telephone-based health coaching program $75 Reward
• Complete at least 3 Missions (online action plans) $50 Reward
• Use the myHealthcare Cost Estimator $25 Reward PPO
NETWORK NON-NETWORK*
Maximum reward per member = $200 | Maximum reward per family = $400
Annual Maximum Benefit $2,000 per Person
Calendar Year Deductible
Individual $50
Family $150
Preventive Services 100% 100%
Plan Pays Deductible Waived Deductible Waived
Basic Services Deductible, 80% Deductible, 80%
Plan Pays
Major Services Deductible, 50% Deductible, 50%
Plan Pays
Orthodontia 50% to $1,500 Lifetime Maximum
Child / Adult Deductible Waived
*Based on fee schedule.
EMPLOYEE RATE PER PAYCHECK
(based on 26 pay periods)
Employee Only $18.25
Employee + Spouse $35.09
Employee + Child(ren) $37.19
Employee + Family $58.51
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