Overview

If you have medical coverage under the State of Wisconsin Group Health Insurance Program, you have the option to elect the Uniform Dental benefit. Employees choose health insurance, with or without dental, during the enrollment process.

The Uniform Dental benefit is only available if you enroll in the State Group Health Insurance program. Supplemental dental insurance (Dental Wisconsin and EPIC Benefits+) are separate, optional plan offerings.

If you elect family health insurance coverage with dental, you will be enrolled in family dental coverage. Similarly, if you elect single medical coverage with dental, you will be enrolled in single dental coverage.

Delta Dental of Wisconsin is the plan administrator of the Uniform Dental benefit.

Coverage

Below is the schedule of benefits covered under the Uniform Dental benefit. You must use a Delta Dental PPO or Premier provider to receive benefits.

Uniform Dental provides coverage for diagnostic, preventive and restorative services (such as fillings). It does not include coverage for major dental services, such as crowns, root canals or implants. If you want coverage for major dental services, you may want to consider enrolling in Dental Wisconsin, EPIC Benefits+ or both.

Benefit Coverage Examples and Limitations of Covered Services
Deductible $0
Annual Benefit Maximum $1,000 per member
Diagnostic/Preventive/Basic Services 100% Exams, cleanings, X-rays, fluoride, sealants, fillings
Orthodontics 50% Lifetime maximum of $1,500 per member; children under 19 years of age only

Dental expenses covered under the Uniform Dental benefit are not subject to the health insurance deductible.

Please see the Uniform Dental Benefit (Certificate of Coverage) for list of covered services and exclusions.

Providers

Delta Dental has two provider networks available under the Uniform Dental benefit: Delta Dental PPO and Delta Dental Premier. To receive coverage for dental services, members must choose a dentist within one of Delta Dental’s dentist networks. There is no benefit for out-of-network providers.

See the Delta Dental Network Reference sheet for more information on the two provider networks.

Not sure if your dentist is in one of these networks? Call Delta Dental at 800-236-3712 or visit Delta Dental on the web at deltadentalwi.com/state-of-wi or contact your dentist directly.

Premiums

The dental premium will be included in your health insurance premium. You will not see a separate deduction on your paycheck for Uniform Dental benefit premiums. For State Group Health premiums, with or without Uniform Dental benefits, see the Premiums page.

Forms & Resources

For all State Group Health Insurance forms and resources, click here.


last updated: 12/9/2016

 

 

Every effort has been made to ensure this information is current and correct. This page does not guarantee enrollment or the ability to make changes to your benefits.