Dental Plan
This year we are proud to offer two dental plan options for employees through the Lincoln DentalConnect PPO program.
Key Coverage Highlights:
- Extensive network of dentists with more than 546,690 access points and over 115,665 unique providers — some discounts total more than 35%.
- Provider searching is available on our Mobile App and website by visiting LincolnFinancial.com/FindA/Dentist.
- Value-add programs including our health center website that provides valuable tools such as oral health risk assessments and a cost estimator so employees can evaluate their costs up front.
- Support and service that satisfies with online access to enrollments, claims, bill payments and plan documents.
| | PPO Base Plan | PPO Buy-Up Plan | ||
|---|---|---|---|---|
| Member Responsibility | In-Network | In-Network | ||
| Annual Deductible | ||||
Individual |
$50 | $50 | ||
Family |
$150 | $150 | ||
| Deductible applies to: | Type 2 & 3 | Type 2 & 3 | ||
| Plan Coverage | ||||
|
Type 1 – Diagnostic & Preventative Oral exams, cleanings, x-rays, fluoride, sealants, space maintainers, emergency treatment |
No charge | No charge | ||
|
Type 2 – Basic Services Direct placement fillings, simple extractions, periodontal scaling & root planing |
Ded., then 20% | Ded., then 20% | ||
|
Type 3 – Major Services Dentures, bridges, crowns, inlays/onlays |
Ded., then 50% | Ded., then 50% | ||
|
Type 4 – Orthodontic Services (covers adults and children) Orthodontic Exams, X-rays, Extractions, Study Models and Appliances |
Not covered | 50% | ||
| Maximum Benefit (per covered person): | ||||
| Types 1, 2 & 3 combined | $1,500 Per Calendar Year | $2,500 Per Calendar Year | ||
| Type 4, while covered by the plan | Not Covered | $2,500 Lifetime | ||
| Annual Maximum Type | MaxRewards® Included. A covered person may be eligible for the Rollover Amount for Types 1, 2 & 3 combined based on the following: |
|||
| Eligible Range (claim threshold): | $1 - $800 Per Calendar Year |
$0 - $900 Per Calendar Year | ||
| Rollover Amount: | $500 Per Calendar Year | $650 Per Calendar Year | ||
| Maximum Rollover Account Balance: | $1250 Rate assumes that all members’ Maximum Rollover Account Balance is $0 at time of takeover. |
$1500 Rate assumes that all members’ Maximum Rollover Account Balance is $0 at time of takeover. | ||
IMPORTANT NOTICE FROM YOUR EMPLOYER:
- Please be advised that utilizing out-of-network services may result in additional expenses attributed to the Maximum Allowable Charge set by Lincoln.
- Visiting an out-of-network dentist may lead to being balanced billed for any charges exceeding Lincoln’s allowance.
Plan Documents
Dental Low Option Summary
Dental High Option Summary
Dental MaxRewards Employee Flyer
