Smokey Bones Online Benefits Information

DENTAL

Your dental benefits are an important factor in your health benefits overall. Smokey Bones will continue to provide a dental plan through United Healthcare that does not penalize you for going out-of- network; however, your costs generally will be lower if you utilize an in- network provider.   See below for a summary of your dental benefits or visit www.myuhc.com.   To speak with a UHC representative, call (877) 816-3596.

Dental Plan Summary

Benefit Highlights In-Network Out-of-Network
Annual Deductible
Individual / Family $50/$150 $50/$150
Annual Maximum Benefit
Per Individual $1,500 $1,500
Preventive & Diagnostic Services
Per Individual 100%1 100%1
Basic Services
Each Procedure 75%2 75%2
Major Services
Each Procedure 50%2 50%2
Orthodontics
Each Procedure 50%2,3 50%2,3


Preventive & Diagnostic Care
Routine exams and cleanings, fluoride treatments, x-rays, sealants, and space maintainers

Basic Treatment
Extractions, fillings, root canals

Major Treatment
Crown, inlays, onlays, and dentures

Orthodontia (braces)
Only for dependent children under age 19

1 Deductible Waived
2 After deductible
3 $1,500 Lifetime Maximum

Additional Information-Click on link below

United Dental Network - shop for a dentist

Dental Plan Summary

Full Dental Plan Description

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