Fresno Unified School District
2024 UHC Dental HMO
UnitedHealthcare Dental HMO (Dental Direct) is unique for a DHMO dental plan. You are not required to select a provider as long as you and your dependents go in-network. If you receive services from a provider outside of the approved network, you would be responsible for paying the entire dental bill yourself.
To find a UnitedHealthcare Dental HMO dentist, go to www.myuhc.com and select Find a Dentist, or call 800.999.3367.
Note:
- Part-time employees are eligible to enroll in the UnitedHealthcare Dental HMO plan only.
- Dual Coverage Not Allowed for the Same Dental Plan
- If both you and your spouse are an employee of Fresno Unified School District and qualify for coverage as a Primary Enrollee, neither of you may enroll as a Dependent of the other for the same dental plan. In addition, only one of you may enroll your dependent child(ren) for the same dental plan. However, if you and your spouse enroll in separate dental plans (i.e., one enrolls in Delta Dental and the other enrolls in UHC), you may cover your spouse and dependent child(ren) in each plan.
Plan Highlights |
United Health Care Dental |
|---|---|
| Annual Calendar Year Deductible | In-Network Only |
| Per Person | N/A |
| Family Maximum | N/A |
| Calendar Year Maximum | N/A |
| Preventive Services | In-Network Only |
| Office Visits | No Charge |
| X-rays | No Charge |
| Cleanings | No Charge |
| Sealants (per tooth) | No Charge |
| Restorative Services | In-Network Only |
| Amalgam Fillings | No Charge |
| Composite Fillings | No Charge |
| Periodontics (gum treatment) | In-Network Only |
| Scaling & Root Planning | No Charge |
| Gingivectomy (4+ teeth) | No Charge |
| Endodontics (root canal therapy) | In-Network Only |
| Pulpotomy | No Charge |
| Root Canal | No Charge |
| Oral Surgery | In-Network Only |
| General Anesthesia | No Charge |
| Simple Extraction | No Charge |
| Soft Tissue Impaction | No Charge |
| Complete or Partial Bony Impaction | No Charge |
| Crowns & Inlays | In-Network Only |
| Inlay / Only (2 surfaces) | No Charge |
| Crowns | No Charge |
| Prosthetics & Bridges | In-Network Only |
| Bridges | No Charge |
| Denture Adjustment | No Charge |
| Complete or Partial Denture | No Charge |
| Other Services | In-Network Only |
| Implants | $1,950 Copay |
| Orthodontia Services | In-Network Only |
| Child / Adult Orthodontia Phase 1 & 2 | $1,250 maximum out-of-pocket expense for 24-month treatment plan |