United Concordia | DHMO Plan (CA Only)
This plan requires you to select a general dentist who is a member of the network to provide your dental care. You will contact your general dentist for all of your dental needs, such as routine check-ups and emergency situations.
If specialty care is needed, your general dentist will provide the necessary referral. For covered procedures, you’ll
pay the pre-set copay or coinsurance fee described in your DHMO plan booklet. Please keep a copy of your booklet to refer to when utilizing your dental care. This will show the applicable copays that apply to all of the dental services that are covered under this plan.
United Concordia | PPO Plan
This plan offers you the freedom and flexibility to use the dentist of your choice. However, you will maximize your benefits and reduce your out-of-pocket costs if you choose a dentist who participates in the United Concordia
network. When you utilize a network dentist, your out-of-pocket expenses will be less, however, you will usually pay the lowest amount for services when you visit a PPO dentist. If you obtain services using a non-network dentist, you will be responsible for the difference between the covered amount and the actual charges and you maybe be responsible for filing claims. The chart below provides a high-level overview of your dental plan.
Finding a dental provider Go to www.unitedconcordia.com
DHMO: Refer to the “DHMO Concordia Plus:
PPO: Refer to the “Elite Plus” Network
Resources
United Concordia DHMO (CA Only)
United Concordia PPO
Rates & Contributions | |
Employee Per Month |
|
DHMO | |
Employee only | $12.50 |
Employee + spouse | $25.00 |
Employee + child(ren) | $25.40 |
Employee + family | $37.80 |
PPO | |
Employee only | $29.69 |
Employee + spouse | $59.38 |
Employee + child(ren) | $63.54 |
Employee + family | $96.78 |
United Concordia | www.unitedconcordia.com | ||
Dental HMO | Policy #: 921276-001 | ||
Dental PPO | Policy #: 921276-000 | ||
Original Effective Date | 1/1/2018 | ||
Renewal Date | 1-Jan | ||
Name | Title/Role | Phone | |
Member Services | HMO | 800-332-0366 | |
PPO | 866-357-3304 | ||
Membership/Billing | 888-320-3316 | ||
Nancy Arias | Client Manager | 818-936-1307 | [email protected] |
Peggy Shank | Membership/Billing | 888-320-3316 | [email protected] |
Click on the resources to learn more!