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Effective January 1, 2008

Dental Services
The UVa Health Plan provides $1,500 per person each calendar year for dental benefits. Coverage is 100 percent of the allowable charge for diagnostic and preventative services including two cleanings annually. After a $50 deductible is satisfied, coverage for primary and periodontal services is 80 percent of the allowable charge and 50 percent for complex restorative services. Coverage for orthodontia services is 50 percent of the allowable charge. The lifetime orthodontia maximum is $1000 per person. This benefit is separate from the annual maximum dental benefit. When United Concordia participating dentists are used, participants receive the maximum benefits available. Members may be balance-billed and incur more expenses if non-participating dentists are used. A current listing of network dental providers can be found at United Concordia's website.