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Dental Plans

Emory Medical House Staff dental plan options.

Dental Plan Overview

Dental PPO — Humana (Traditional)

NEW - Emory realizes that good dental health begins with routine preventive care. To this end, services received by either In- or Out-of-Network providers are covered by the plan at 100% up to reasonable and customary. Some examples of routine preventive care include:

- Oral examinations

- Routine cleanings and polishing

- Fluoride

- Sealants (permanent molars only)

- Full Mouth Series X-Rays

- Space maintainers

NEW - Deep Cleaning (full mouth debridement, CPT 4355) will now be covered under preventive services as a replacement for one of your routine cleanings once in a 24-month period of time.

Dental Access — Humana/Compbenefits (Current Enrollees ONLY)

With this plan, members are free to choose any licensed dentist, including those in the Dental Access — CompBenefits network. Members who select an In-Network Access provider enjoy higher benefits and lower out-of-pocket costs. This plan offers a smaller network of dentists with no deductible, moderate In-Network co-pays and a moderate schedule of reimbursements for Out-of-Network services. This plan has the lowest employee contribution.

Be sure to check with your dentist of choice before receiving dental services to ensure he/she is participating in this plan.

 

 

 

*Dental Access

Humana CompBnefits
(Closed to New Enrollment)

Traditional Dental
Employee Pays
Employee Pays
Services
In-Network
In-Network
Out-of-Network
Annual Deductible
Basic/Major Services
Family

$0
$0

$50/person
$150/family

$50/person
$150/family
Annual Benefits Maximum
$1,000
per person
$1,500
per person
$1,500
per person
Preventive Services
$10
$0
20%
Basic Services
Per Schedule*
10%
after deductible
20%
after deductible
Major Services
Per Schedule*
50%
after deductible
50%
after deductible
Orthodontic Expense Coverage

Orthodontic Appliances & Treatments
(for dependent children only up to 19 years of age and limited to one treatment per lifetime)

Patient Co-Pay
$2,585
50%
50%
Adult Orthodontic Co-Pay
(19 years of age and over)

Lifetime Benefit Maximum
$2,785(Excludes $450 retention fee)
No Coverage
for Adults

$1,500
No Coverage
for Adults

$1,500

* The benefit levels above represent the participant cost under the respective option. The Traditional and Dental Access programs' benefit percentages are subject to usual and prevailing fees.

Disclaimer: Every attempt has been made to ensure the chart and information above accurately reflect the details of the plan. Should there be any errors, the terms and conditions of the Summary Plan Description prevail.

 

Dental Plan Employee Contributions

Please note that the premiums listed below will be deducted from your monthly payroll.

2009 - 2010 Dental Plan Rates

Plan
Employee Monthly Premium Deductions
Dental Access -Humana CompBenefits*
  Resident/Fellow Only
$14.34
  2 Person
$24.34
  Family
$46.90
Traditional
  Resident/Fellow Only
$22.00
  2 Person
$46.00
  Family
$68.00

* Please note that the CompBenefits Dental Access plan is no longer accepting new enrollments.

Important Notes:

  • The schedule of co-pays and additional details about your coverage may be found on the Humana CompBenefits site. Should there be any difference between this overview and the Plans' Summary Plan Description (SPD), the terms and conditions of the SPD prevail.
  • Before making your dental plan election, please access the provider information online at Humana CompBenefits or call the dental provider of your choice to confirm whether they are still participating in the plan's network and/or are accepting new patients.

Vendor Contacts

Humana CompBenefits
(800) 407-5514 (Dental Access)
(800) 342-5209 (Traditional Dental)

Plan Information Documents

Dental Summary Plan Description

Emory University Benefits

Hours of Operation: Monday through Friday from 8:00 a.m. to 5:00 p.m.
1599 Clifton Road, NE
Atlanta, GA 30322
(404) 727-7613

Disclaimer

Emory reserves the right to terminate, suspend, withdraw, amend or modify the Plan in whole or in part at any time. Further, Emory reserves the right to terminate or modify coverage for any group of employees, active or retired and their dependents or a class of dependents at any time.
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