In support of the American Dental Association’s (ADA) recommendation on teledentistry and to best support our United Concorida members in need of urgent assistance, our members can address their critical oral health issues with a video or photograph assessment with their dentist. Teledentistry assessments will be covered for United Concordia members for the next 90 days. Learn more by visiting the United Concordia website March 25, 2020.
Every employee has different dental needs, whether basic cleanings and checkups, or covered dependents ready for braces. To meet your unique needs, the University offers two UVA Dental Plan options: Basic and Enhanced Dental.
The UVA Dental Plan is administered by United Concordia.
Changes can be made during the Open Enrollment period each October, or after a qualified life event like a change in marital status, an addition to the family, or a leave of absence. Review the Health/Dental/Vision Qualified Life Events and Required Documentation resource document for a list of life events and required documentation needed to request a change. Qualified life event change requests along with appropriate documentation must be submitted within 30 days of the life event and must be consistent with the life event. Visit the Life Changes pages for additional information and to learn how to enter these change requests in Workday.
Who is eligible?
The following information is general eligibility for both UVA Dental Plan options.
To be eligible for a UVA Dental Plan, you must be a full- or part-time UVA employee, regularly scheduled to work at least 20 hours/week. To be eligible for dental coverage through UVA, you must be one of the following employee types:
To be added to your UVA Dental Plan, children must be your biological, step, adopted, or foster child, or any child declared a dependent on your federal tax return for whom you are the legal guardian with permanent custody. You must be the legal guardian with permanent custody. Children are eligible to the end of the birth month in which they turn 26.
If children are incapable of self-support, due to mental or physical disability, they can remain on your dental plan beyond age 26 as long as the following requirements are met:
Required documentation is approved in advance by the benefits claims administrator before the dependent's 26th birthday.
They are unmarried.
They live with you 100% of the time.
They are declared a dependent on your federal tax return.
What are the costs?
Cost is one factor to consider when choosing the dental coverage. The UVA Dental Plan has two options: Basic Dental and Enhanced Dental.Look at the premiums and deductible for each option and select the best one for your needs. Consider if you, or a covered dependent, might need more complex care such as crowns or orthodontia. For complex restorative services (after the deductible is met), Basic Dental covers 50% of eligible expenses and Enhanced Dental covers 60%. See the Dental Options Comparison Chart for more about covered services and costs. Routine and preventive care is covered at 100% in-network.
Your deductible is the amount you pay for covered dental care services before the UVA Dental Plan starts to pay. The deductible for both options is $50/year. The deductible is only applied to type B or Type C services.
Annual Maximum Benefit
The annual maximum benefit is the most the plan will cover in allowable expenses within one year.
Your premiums are the amount you spend on the UVA Dental Plan each paycheck. Premiums are not included as contributions toward your deductible. You pay the premiums, regardless of whether you use the benefits.
Note: Premium amounts below are monthly. Family coverage includes employee, spouse, and children.
You receive UVA Basic Dental Plan coverage at no cost. Dependent enrollment is not automatic, and must be done through Workday upon hire, with a qualified life event, or during the annual enrollment period.
You may choose from the Basic or Enhanced plans. The tables below show what you pay each month in premiums. Rates have not changed from 2019.
2020 Part-Time Monthly Premiums
Dental Monthly Part-Time Rate - Enhanced
Employee Rate
Employer Rate
Total Rate
Employee
$21.50
$10.75
$32.25
Employee + Child(ren)
$44.50
$19.75
$64.25
Employee + Spouse
$48.75
$19.75
$68.50
Family
$79.00
$29.00
$108.00
Dental Monthly Part-Time Rate - Basic
Employee Rate
Employer Rate
Total Rate
Employee
$12.00
$10.75
$22.75
Employee + Child(ren)
$21.75
$19.75
$41.50
Employee + Spouse
$23.75
$19.75
$43.50
Family
$36.50
$29.00
$65.50
How do I use the UVA Dental Plan?
UVA Dental Plan coverage varies between the Basic and Enhanced Dental options. With both options, routine and preventive care is covered at 100%. For specific information about coverage and costs for each option, please use the following resources:
In the “Tell us about yourself” section, select “Member.”
Follow the prompts to register. You will need your dental identification number (found on your United Concordia card) or social security number, so have that information handy.
Enter your username and password and click “Sign In.”
In the top navigation bar, select “Find a Dentist.”
Scroll through the procedure list in the “Coverage Summary,” use the search box, or use the navigation bar to research coverage for different categories of procedures e.g. “Routine,” “Non-Routine & Surgical,” and “Braces & Orthodontic.”
Enter your username and password and click “Sign In.”
In the top navigation bar, click on “Claims.”
Review your claim information summary and click on the “+” near the bottom of each entry to see more.
In the bottom of each claim detail, click on “Explanation of Benefits (EOB)" to download a PDF for that claim.
How do I prepare for out-of-pocket expenses?
To help you get the most out of your money for dental, medical, pharmacy, vision, and dependent-care expenses, the University offers benefits-related savings and spending accounts to meet your needs. These accounts allow you to put aside money for eligible expenses, by payroll deduction, before taxes.