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UniCare Dental Plan - for Illinois Residents

 

UniCare
  • Popular UniCare PPO Dental Coverage
  • Submit UniCare Dental Plan Application

UniCare Dental - How It Works

When you choose a dentist participating in the UniCare Dental PPO Network, you receive care at negotiated discounted rates — what UniCare calls "The UniCare Advantage."

If you receive services from a non-participating dentist, the plan still provides benefits, but your out-of-pocket expense will be greater, as the negotiated discounted rates don't apply to non-participating dentists.

You're responsible for any charges in excess of the stated benefits for participating and for non-participating dentists.

Utilizing Participating Dentists

Your current dentist may be a participating dentist.  Before you choose a dentist, be sure to check the UniCare PPO Dentist Finder, or call UniCare Dental Services at (888) 209-7852.

If your current dentist is not a participating dentist and you would like him/her to become one, please notify:

WellPoint Dental
Attn: Network Development
P.O. Box 9069
Oxnard, CA 93031

Flat Dollar Benefit Schedule

The plan states in flat dollar amounts how much it pays for covered services. This means you're able to calculate how much you'll have to pay once you've determined your dentist's fee for specific procedure(s).

PPO Dental Benefit Example

Following is an example of how you reduce out-of-pocket costs by using dentists participating in the UniCare Dental PPO:


Participating Dentist
If the billed charges are
$745
And UniCare's Negotiated Rate is
$500
UniCare will pay the amount specified in the benefit schedule
$215*
You pay the difference between the negotiated amount and the scheduled benefit.
$285

Non-Participating Dentist
If the billed charges are
$745
UniCare will pay the amount specified in the benefit schedule
$215*
You pay the difference between the billed amount and the scheduled benefit.
$539


Assuming your deductible has been met and you haven't reached your annual maximum benefit.

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