UCare Medicare Dental Options

Preventive dental benefits are included in several UCare Medicare Plans, plus select Group plans - for no additional premium.

UCare Essentials Rx, Standard and Value plans include these annual preventive dental care* services:

  • One oral exam
  • One routine teeth cleaning
  • One set of bitewing X-rays
  • Topical application of fluoride
     

UCare Essentials Rx, Standard and Value members may add comprehensive dental coverage with Choice Dental (PDF), for an additional $21 per month.

  CHOICE DENTAL
Premium $21 per month
Deductible $75 per year (not applicable for some services)
Annual maximum $1,000 per covered person,
per coverage year.**

** This annual maximum is in addition to the preventive dental coverage provided in your UCare Essentials Rx, UCare Standard or UCare Value plan.

UCare Classic and select Group plans include these annual preventive dental care* services:

  • Two oral exams
  • Three routine teeth or periodontal maintenance cleanings
  • One set of bitewing X-rays
  • Full mouth X-rays every five years
  • Topical application of fluoride

UCare Classic members and select Group plan members may add comprehensive dental coverage with Classic Choice Dental (PDF), for an additional $21 per month.

  CLASSIC CHOICE DENTAL
Premium $21 per month
Deductible $50 per year (not applicable for some services)
Annual maximum $1,200 per covered person,
per coverage year.**

** This annual maximum is in addition to the preventive dental coverage provided in your UCare Classic or Group plan.


*You will get the best benefit by using a network dentist in the Delta Dental Medicare Advantage Network. Find a list of network providers using the Search Network tool. Unlike most other dental plans, you may also use an out-of-network licensed dentist (who has not opted out or been excluded from Medicare) within the United States and its territories. If you receive dental services from a non-network licensed provider, you may be responsible for submitting your bills and paying the cost share and any difference between the dentist’s fees and the allowable amount.

Dental benefits with additional comprehensive coverage

Overview of benefits

Type of dental service CHOICE DENTAL
Additional preventive oral exam per calendar year One
(no deductible applies)
Additional routine cleaning of the teeth per calendar year One
(no deductible applies)
Full mouth X-rays every 5 years One set
(no deductible applies)
Basic Services 30% coinsurance
Endodontics 30% coinsurance
Periodontics
- Periodontal maintenance cleanings
- Surgical and other non-surgical periodontics

$0 copay
30% coinsurance
Oral/Maxillofacial Surgery 30% coinsurance
Major Restorative Services 60% coinsurance
Prosthetics 60% coinsurance
Implant services 60% coinsurance

 

Overview of benefits

Type of dental service CLASSIC CHOICE DENTAL
Additional preventive oral exam per calendar year None
(two already included with Classic)
Additional routine cleaning of the teeth per calendar year None
(three already included with Classic)
Full mouth X-rays every 5 years None
(already included with Classic)
Basic Services 20% coinsurance
Endodontics 20% coinsurance
Periodontics
- Periodontal maintenance cleanings
- Surgical and other non-surgical periodontics

(included with Classic)
20% coinsurance
Oral/Maxillofacial Surgery 30% coinsurance
Major Restorative Services 60% coinsurance
Prosthetics 60% coinsurance
Implant services 60% coinsurance

 

When to enroll in comprehensive dental coverage

You can enroll in the extra dental coverage when you first enroll in your health plan by checking the box on your enrollment form. You are still eligible to enroll during your first covered month, and after that, annually during the Annual Election period (10/15 – 12/7) for coverage beginning January 1 (Forms cannot be accepted before October 15).

A separate enrollment form is required if you do not enroll when you first join our health plan.

Say Cheese! And add comprehensive dental coverage.

Mobile Dental Clinic

Receive care aboard UCare’s Mobile Dental Clinic when it’s in your neighborhood.​


H0422_Y2459_092718_7_M CMS Accepted (10012018)
September 2018