Representative listing of covered services – certificate of coverage provides a detailed description of benefits.
1. Dependent children covered to age 26.
2. Reimbursement is based on United Concordia’s schedule of maximum allowable charges (MACs). Network dentists agree to accept the scheduled allowances as payment in full for covered services. Non-network dentists may bill the member for any difference between the scheduled allowance and their fee (also known as balance billing). United Concordia Dental’s standard exclusions and limitations apply. Orthodontics are not covered on this plan. Concordia Flex is a passive PPO program that allows members to receive care from any licensed dentist; however, members receive the greatest value and convenience when they receive care from a participating dentist. This means that members who receive care from a participating dentist are responsible only for those deductibles and coinsurance amounts that are part of the program design.