Dental Insurance Coverage & Premiums

Disclaimer

This website is not intended to replace or interpret any program’s Summary Plan Description (SPD), and any differences between this website information and the actual SPD are unintentional and non-binding. For final benefit questions, such as plan coverage, please refer to the SPD which can be linked from this website. The SPD, not this website, will be followed for all claim determinations.

Coverage

USU's dental insurance is provided by Regence Blue Cross Blue Shield and covers preventive, basic, and major dental care, including the following: examinations, fillings, x-rays, prosthetics, and orthodontics.

Treatment Category	Examples of Service	Plan Pays*
Preventive	Cleanings, examinations, x-rays	100%
Basic	Periodontal services, endodontic services, emergency and other basic dental services	80%
Major	Bridges, crowns, inlays, onlays, dentures, implants, orthodontics	50%

*Limitations and exceptions apply, please reference the Summary Plan Description.

Summary of Benefit and Coverage

Dental / Dental (Spanish)

View Dual Dental Information

Full-time Employees (30 hours + per week) Dental Premiums

The following are the semi-monthly Insurance premiums for Benefited employees working at least 30 hours per week.

If you are a benefited employee and work less than 30 hours per week, please see part-time premium information.

Salary Range	Single	Two Party	Family
All	$5.88	$11.76	$19.12

Part-time Employees (less than 30 hours per week) Dental Premiums

Salary Range	Single	Two Party	Family
All	$9.99	$18.92	$31.11

Maximum Benefits

Maximum benefits per person per contract year is $2,000.
Maximum benefit on orthodontics is $1,500 per person per lifetime.

Regence Blue Cross Blue Shield Logo