Dental How are my visits paid for? When you see an in-network provider, you don’t need to worry about claim forms. Your provider will bill UnitedHealthcare, and we will pay them directly. If you see a provider who is not part of our network the provider may bill you, and you can then submit the claim to UnitedHealthcare. If you choose to see an out-of-network provider, you may want to ask about their payment process ahead of time so you can know what to expect. What charges am I responsible for? You are responsible for your annual deductible, which is the dollar amount you must pay each year before your plan starts paying for your benefits. 1 After you pay your deductible, your plan will pay a percentage of any eligible expenses and you will pay the rest. The portion you pay is called coinsurance. You’re also responsible for any charges incurred for services not covered by your plan. When you become a member, be sure to review your benefit plan documents at myuhcdental.com so you know what your specific plan covers. Be aware that the plan has an annual maximum, which is the maximum dollar amount the plan will cover in a given year. Once you exceed this amount, you are responsible for all charges. We look forward to serving you. Whatever your dental needs, you can always count on the support and experience of UnitedHealthcare. As a premier provider of health care benefits, including dental insurance, we take a comprehensive approach to health and wellness. We know that oral health is about more than having a great smile — it’s about enjoying better health overall. Enroll today. Start receiving the care you need to enjoy excellent oral health. It’s all yours with the PPO plan from UnitedHealthcare. 1 Depending on your specific plan, you may not have to pay a deductible for preventive care. UnitedHealthcare Dental® coverage underwritten by UnitedHealthcare Insurance Company, located in Hartford, Connecticut, or its affiliates. Administrative services provided by Dental Benefit Providers, Inc., Dental Benefit Administrative Services (CA only), United HealthCare Services, Inc. or their affiliates. Plans sold in Texas use policy form number DPOLO6. TX and associated COC form number DCO.CER.06. This product is not available in all states. UnitedHealthcare Insurance Company 100-3924 01/12 ©2012 United HealthCare Services, Inc.