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insurance options: BU, Huntington Theatre, and 660 Corporation employees

Employees may elect to seek care from either a Boston University Dental Health Center or from any dental office of their choice. Coverage will vary based on where the service is delivered.

If a plan member seeks care from Boston University Dental Centers, the coverage is as follows:

coverage for care received at a BU Dental Health Center

  • basic services (preventive, diagnostic, restorative, i.e., routine fillings): 100%
  • major services: (crowns, bridges, root canals, gum treatment): 60%
  • orthodontics: 40%

In brief:

  • No deductible
  • $1,700 annual maximum benefit per person per calendar year
  • Coverage based on Boston University Dental Health Center fees, which are approximately 30% to 40% below area private practice fees
  • 2005 benefit amounts (pdf)
  • No claim form

coverage for care received at an outside office

If a plan member seeks care from an outside office, the dentist must fill out a claim form and send it to Boston University for processing; reimbursement will be sent directly to the patient. No payments will be sent directly to the dental office. There is no assignment of benefits.

Download claim form for care received at an outside office.

Coverage percentage and comparison:

BU Dental Health Center Outside Dentist*

basic services (preventive, diagnostic, restorative, including cleanings twice a year)

 100% 80%
major services (crowns, bridges, root canals, gum treatment) 60% 50%
orthodontics 40% 0%
cosmetic services (e.g., bleaching and veneers) 60% 0%
*Allowance for care outside the centers is based on the fee schedule established by Boston University Dental Health Center.

In brief:

  • no deductible
  • $1,700 annual maximum benefit per person per calendar year
  • no claim forms for services received at BU Dental Health Centers

Coverage for services outside a BU Dental Health Center:

  • Benefits for this option will be paid at a percentage of the BU Dental Health Center's fee schedule. If outside treatment exceeds $300, the dentist must submit a pretreatment estimate for review by plan administrators.
  • The plan will reimburse up to 80% of the Boston University Dental Health Centers' standard fee for preventive, diagnostic, and basic services, and up to 50% of the center's standard fee for major services. Note that the centers' standard fees are approximately 40% lower than the average cost of dental services in the Boston area.
  • fee schedule

 

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