Pittsburgh Technology Council
August 28, 2008
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Concordia PLUS Dental HMO

Coverage

Following is a summary of the coverage level, terms and conditions for the Concordia PLUS Dental HMO Plan offered by the Council's Employee Benefits Group. ConcordiaPLUS consists of a limited network of dental providers and a primary dental office must be chosen.

Benefits at a Glance
ConcordiaPLUS Dental HMO*
Diagnostic & Preventive
Exams 100%
X-Rays 100%
Cleanings 100%
Fluoride Treatments 100%
Sealants 100%
Palliative Treatment 100%
Basic Services
Basic Restorative 80%
Anterior & Bicuspid Endodontics 80%
Non-Surgical Periodontics 80%
Simple Extractions 80%
Major Services
Inlays, Onlays, Crowns 55%
Fixed Prosthetics 55%
Removable Prosthetics 55%
Specialty Services
Molar Endodontics 55%
Surgical Periodontics 55%
Complex Oral Surgery 55%
Orthodontics-dependents to age 19
Diagnostic, Active, Retention Treatment Based on Schedule of Copayments
Maximum and Deductibles
Annual program maximum None
Lifetime Orthodontic maximum None
Deductibles None

All percentages are the percent of United Concordia's maximum allowable charge (MAC). All members will receive a copyament schedule that shows the financial obligation for which he or she will be responsible under this program.

Note: Before you begin any treatment plan, it is important to discuss copayment amounts with the provider of service.

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Provider Network

Members can use the  Provider Network Directory provided by United Concordia, Inc. and select 'ConcordiaPlus' to search for participating dentists in your area.

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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: 

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