Pittsburgh Technology Council
August 28, 2008
Home 
   Benefits
  Policies
     Resources
Statements

Concordia Flex Option IV

Coverage

Following is a summary of the coverage levels, terms and conditions for Option IV Dental Plan offered by the Council's Employee Benefits Group.

Benefits at a Glance
Option IV
Preventive Services
Diagnostic
(Routine Exams, X-Rays)		 100%
Preventive
(Cleaning, Scaling, Polishing)		 100%
Basic Services
Basic Restorative
(Fillings)		 100%
Endodontics
(Root Canals)		 100%
Simple Extractions 100%
Oral Surgery
(Wisdom Teeth Removal)		 100%
Non-Surgical Periodontics
(Gum Disease)		 100%
Surgical Periodontics
(Gum Disease)		 100%
Major Services
Crowns, Inlays, Onlays 60%
Fixed Prosthetics
(Bridges)		 60%
Removable Prosthetics
(Bridges)		 60%
Orthodontics (Dependents under age 19) 60%
Yearly Deductible $50
Lifetime Maximum (per person) $1,000
Program Calendar Year Deductible: $25 Except Preventive
Program Calendar Year Maximum: $1,500 per person

Payment of benefits is based on the Usual, Customary, and Reasonable (UCR) charges as determined by United Concordia.This description outlines the principal features of the dental programs offered by the Council's Employee Benefits Group. It is not to be considered the contract of benefits and provisions. The complete terms of coverage are set forth in agreements issued by the individual carriers.

back to top

Provider Network

Members can use the  Provider Network Directory provided by United Concordia. If a member lives in Pennsylvania, select Concordia Advantage network to find participating providers in your area. If a member lives in a state other than Pennsylvania, select Advantage Plus as the network.

back to top

If you have any further questions, please contact us; we'll be glad to help you.

This information is not intended for use without professional advice. While we have attempted to make this site as accurate as possible, it is only a summary. For more information, see our disclaimer.


Last updated on:  Wednesday, December 07, 2005  Page: 

Copyright © 2003 Pittsburgh Technology Council.
All Rights Reserved.