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DENTAL PLAN
by Tony Balsamo
The dental plan has been approved by membership vote for another three
years. Delta Dental administers our
dental program. Starting
November 1, 2007
, the plan has changed. Benefits and covered dental
services are as follows:
The first change is we now have a
maximum benefit per family member of $2000 year.
The second change we have is that dental
implants are added to our proshthodonics service and covered there.
Our third change we have is that there
is now a $10
co-pay per day for a visit to the dentists office. Also keep in mind that we still have 2 exams and 2 cleanings per year.
Effective November 1, 2007, benefits will be paid for the fee charged by
the dentist up to 100% of the usual, customary and reasonable charge for
Diagnostic, Preventive, Endodontic, Periodontic, and Oral Surgical procedures,
80% for Restorative procedures and 50% for the Prosthodontic and Orthodontic
procedures listed in Schedule A, made a part hereof by reference, which include,
but are not limited to, the following:
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Type
of Service
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Delta
Dental Pays
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Description
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Diagnostic
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100%
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Examinations, x-rays, study models
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Preventative
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100%
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Cleaning of teeth, application of fluoride solutions
to teeth, space maintainers when necessary for children who prematurely
lose their first teeth and sealants.
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Minor
Restorative
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100%
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Fillings using silver or resin (tooth colored)
materials, including fillings placed after a nerve is removed from a
tooth.
|
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Major
Restorative
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80%
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Cast restorations, crowns, caps and jackets, are
covered benefits when fillings cannot restore teeth satisfactorily. The
type of material (gold, porcelain, etc.) that is covered at 80% is based
on the location of the tooth.
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Endodontics
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100%
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Treatment of the nerve canal in a tooth (e.g., root
canal therapy).
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Periodontics
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100%
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Treatment of disease of the gums, and bone-related
diseases of the supporting structures of the teeth.
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Oral
Surgery
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100%
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Surgical procedures, including simple extractions,
and removal of impacted teeth.
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Prosthodontics
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50%
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Installation and replacement of fixed bridgework,
partial dentures and complete dentures. Replacement of an existing partial
denture or fixed bridgework is a covered benefit only if the existing
denture or bridge is at least seven years old and cannot be made
serviceable.
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Orthodontics
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50%
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Treatment for the prevention and correction
(straightening) of malposed teeth for dependent children under age 19.
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Benefits will also be paid to a licensed dentist for such eligible charges
which are for treatment of a fractured jaw or of accidental injuries to natural
teeth within twelve (12) months of the accident (including replacement of such
natural teeth within such period).
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UNITED
STEELWORKERS