UPMC Dental Insurance for Individuals and Families

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If you're looking for dental insurance that covers you and your loved ones, UPMC Dental Insurance is a great option. UPMC Dental Insurance offers coverage for individuals and families, providing a range of benefits that can help you save money on dental care.

UPMC Dental Insurance has a network of over 90,000 dentists nationwide, making it easy to find a dentist near you. This extensive network ensures that you have access to quality dental care whenever you need it.

With UPMC Dental Insurance, you can expect to pay a monthly premium, which varies depending on your age, location, and coverage level. Premiums start at just $20 per month for individuals and $50 per month for families.

UPMC Dental Insurance covers a wide range of dental services, including routine cleanings, fillings, crowns, and extractions. This means you can get the dental care you need without breaking the bank.

Plan Details

UPMC dental insurance plans offer a range of benefits to help you stay healthy and maintain good oral hygiene.

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All UPMC for Life Advantage plans include preventive dental coverage, which is a great starting point for maintaining good oral health.

The UPMC for Life HMO-SNP plans go a step further, offering coverage for preventive oral examinations, cleaning, and X-rays on a rolling 6-month basis.

You can get yearly amounts ranging from $3,000 to $5,000, depending on the plan, for services such as fillings, extractions, root canals, dentures, bridges, and crowns.

Here are some of the services you can expect to be covered under the UPMC dental plans:

  • Preventive oral examinations
  • Cleaning
  • X-rays
  • Fillings
  • Extractions
  • Root canals
  • Dentures
  • Bridges
  • Crowns

Keep in mind that the specific services and coverage amounts may vary depending on the plan you choose.

Benefits and Savings

Visiting the dentist's office shouldn't leave you penniless, and using your UPMC Dental Advantage benefits is highly recommended to avoid high out-of-pocket expenses.

By informing your dentist of your plan when scheduling an appointment, you can start saving on your dental care.

You can choose from two options with your UPMC Dental Advantage Plan: standard and premium. Designing their PPO plans to encourage patients to pursue preventive care, you'll be pleased to learn that there are unique advantages to seeing an in-network dentist.

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Preventive services, such as dental cleanings and exams, are covered at 100% for both standard and premium plans.

Minor restorative services, like dental fillings, are covered at 60% for standard plans and 80% for premium plans.

Major restorative services, like dental crowns, dentures, and tooth extractions, are covered at 40% for standard plans and 50% for premium plans.

If you require orthodontia for a child under the age of 19, coverage is 50% for both standard and premium plans.

Choosing an in-network dentist grants you many benefits when it comes to saving on your routine oral healthcare, including no waiting periods and no pre-authorizations required for major services.

Here's a breakdown of the coverage for preventive, minor restorative, and major restorative services for standard and premium plans:

Your monthly premiums allow you to have a cleaning and checkup twice per year after a co-payment, preserving your natural smile and avoiding costly treatments later.

About UPMC Dental Insurance

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UPMC Dental Advantage offers three plan models: Basic, Standard, and Premium. These plans are designed to encourage regular preventive care and foster open communication between patients and dentists.

The UPMC Dental Advantage network includes over 1,900 providers across 29 counties. This extensive network makes it easy to find a credentialed dentist near you.

UPMC Dental Advantage is designed to encourage regular preventive care. This means that the plan is tailored to help you stay on top of your oral health.

You can choose from three plan models to suit your needs: Basic, Standard, and Premium. Each plan offers a different level of coverage, so you can select the one that works best for you.

Available Plans

UPMC for Life offers a range of dental plans to suit different needs.

All UPMC for Life Advantage plans include preventive dental coverage, which is a great starting point for maintaining good oral health.

Preventive oral examinations, cleaning, and X-rays are also covered on a rolling 6-month basis for UPMC for Life HMO-SNP plans.

The plans offer yearly amounts ranging from $3,000 to $5,000 for services such as fillings, extractions, root canals, dentures, bridges, and crowns.

Here's a breakdown of the different plans:

Medical Bundle for Small Groups

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If you're part of a small group with 2 to 50 employees, you can take advantage of a bundled medical plan that includes dental coverage at a 60% discount. This is a great option for groups who want to provide comprehensive benefits to their employees.

For groups that purchase UPMC Health Plan medical plans through E.MAP, the UPMC Dental Advantage discount is available on select plans, including Basic, Standard, and Premium options.

Here are the specific plans that qualify for the 60% discount:

The 60% discount is a significant savings opportunity for groups who want to provide comprehensive benefits to their employees.

Plans

Let's take a closer look at the plans available to you. UPMC for Life Medicare Advantage plans offer the same basic coverage as original Medicare, including outpatient doctor and specialist visits, inpatient stays in a hospital or skilled nursing facility, and preventive care and vaccinations.

These plans also cover mental health services, laboratory and diagnostic services, physical and occupational therapy, durable medical equipment, emergency care, and some transportation services. UPMC for Life Medicare Advantage plans offer additional benefits, which vary among plans, including prescription drug coverage.

Woman Having a Dental Check-up
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One of the benefits of UPMC for Life Medicare Advantage plans is the additional coverage for preventive dental care, which is included in all plans. This means you'll have coverage for routine cleanings, X-rays, and exams.

If you choose a UPMC for Life HMO-SNP plan, you'll also have coverage for preventive oral examinations, cleaning, and X-rays on a rolling 6-month basis. Additionally, these plans offer yearly amounts ranging from $3,000 to $5,000 for services like fillings, extractions, root canals, dentures, bridges, and crowns.

Here's a breakdown of the preventive dental coverage offered by UPMC for Life plans:

Frequently Asked Questions

How do I know if a dentist is covered by my insurance?

Check with your insurance company to see which dentists near you are covered under your policy. They can provide a list of in-network dentists who accept your insurance

Maurice Pollich

Senior Writer

Maurice Pollich is a seasoned writer with a keen interest in the digital world. With a background in technology and finance, he brings a unique perspective to his writing. Maurice's expertise spans a range of topics, including cryptocurrency tokens, where he has developed a deep understanding of the underlying mechanics and market trends.

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