Students

Dental Coverage, Fall 2013 - Spring 2014

 

dentalDental coverage is included as part of the Berkeley Student Health Insurance Plan (SHIP). All UC Berkeley students enrolled in SHIP automatically will receive benefits covering preventive and general restorative dental care.

Metlife is the dental insurance provider for SHIP students. Note that dental care is not provided at the Tang Center. SHIP members can select from a wide choice of local dentists, listed on the MetLife website (link will be posted soon).

 

Group and ID Numbers MetLife SHIP Group plan number: Check back this summer for more details.
Dental Benefits Summary There is a $1,000 academic year benefit maximum (August 15-August 14).
If the care is
provided by a…
Dentist who is an in-network PDP Plus dentist the plan covers… Dentist who is not an in-network PDP Plus dentist the plan covers…
Preventive and Diagnostic Services:
  • Oral exams
    (2 per year)
  • Cleanings
    (2 per year)
  • Fluoride treatment
  • X-ray Bitewing (once per year)
  • X-ray Full mouth (once every 5 years)
100%
of negotiated fees that participating dentists have agreed to accept as payment in full
80%
of reasonable and customary charges
Basic Operative and Restorative Services:
  • Fillings
  • Simple extractions
  • Oral surgery
  • Periodontics
  • Endodontics
80%
of negotiated fees after a $25 annual deductible
60%
of reasonable and customary charges after a $25 annual deductible.
Co-payments will be higher with non-Network providers than if you use an in-Network PDP Plus dentist
Major Services
  • Prosthodontics
  • Inlays/onlays
  • Crowns & cast restorations
  • Implants
70%
of negotiated fees after a $25 annual deductible
40%
of reasonable and customary charges after a $25 annual deductible.
Co-payments will be higher with non-Network providers than if you use an in-Network PDP Plus dentist
Benefits NOT covered
  • Maxillofacial prosthetics
  • Orthodontics
Choosing a dentist, filing claims, etc. Check back in June for updates.

 

Frequently Asked Questions About Dental Coverage How does the dental plan work?
How do I find a dentist?
Do I need to file a claim after my visit?
Can I find out how much services will cost prior to treatment?
Can I waive the dental plan?
What if I have more questions?
 

How does the dental plan work?
Check back this summer for updates.

 

How do I find a dentist?
Check back this summer for updates.

  Do I need to file a claim after my visit?

Check back this summer for updates.

  Can I find out how much services will cost prior to treatment?

Check back this summer for updates.

  Can I waive the dental plan?

Check back this summer for updates.

 

What if I have more questions?

For more information about the Student Health Insurance Plan and dental coverage, call the Student Health Insurance Office at (510)642-5700.

 

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