LSU System Dental Plans
Employees
appointed to work a minimum of 30 hours (75%) per week with an
appointment extending beyond 120 days are eligible to
participate in the Dental Plan. You may enroll on or within
30 days after the effective date of the Policy, or on or within
30 days of your employment or completion of any employer
requested probationary period (if you are employed after the
effective date of the policy). Once enrolled, you must
maintain coverage for a full pan year (July 1 - June 30).
Premiums are eligible for tax shelter through the Cafeteria
Plan.
There are two dental options to select from
and both are through Ameritas.
-
Option 1 - Enhanced Plan
- Annual maximums for Dental services
($1,250/person/calendar year) and Orthodontic benefits ($1,000
lifetime maximum)
-
Option 2 - Basic Plan
- Annual maximums for Dental services
($1,000/person/year) and no orthodontic benefits.
Plan benefits:
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Freedom to select the dentist of your
choice or select from the list of contracted providers
offering reduced costs for their services. Most dentists will
complete the necessary paperwork and file the claims for you.
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No pre-existing condition limitations.
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Pre-determinations are not required before
major services are performed. This allows delivery of
necessary care immediately.
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$100 per person Lifetime deductible
for basic and major services. No deductibles for preventive
or orthodontic services.
-
Benefits increase each year of
participation reaching maximum level upon the third year of
coverage.
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There is a Benefits Rewards Plan through
which you may be able to increase the annual maximum by $250
per year.
-
Orthodontics Services offered under Option
1 Enhanced Plan subject to $1,000 lifetime maximum.
Coverage:
-
No pre-existing condition restrictions.
-
Voluntary access to PPO organizations to
help curb costs and save you money. To request a list of
participating providers, visit Ameritas' online directory at
www.ameritasgroup.com/provider
or call the Managed Care Provider Relations Department at
1-800-775-8844.
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Complete freedom of choice in choosing
provider.
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100% coverage for preventive care.
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No deductibles for preventive and
orthodontic services, where applicable.
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$100 LIFETIME deductible for
basic and major services.
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Benefits increase with each year of
participation with maximum coverage upon reaching year 3 of
continuous participation.
Premiums
| |
Option 1 - Enhanced Plan |
Option 2 - Basic Plan |
| Employee Only |
$28.08 monthly - $14.04
bi-weekly |
$16.72 monthly - $8.36
bi-weekly |
| Employee + Spouse |
$55.20 monthly - $27.60
bi-weekly |
$31.64 monthly - $15.82
bi-weekly |
| Employee + Child(ren) |
$67.16 monthly - $33.58
bi-weekly |
$43.84 monthly - $21.92
bi-weekly |
| Family |
$94.28 monthly - $47.14
bi-weekly |
$58.76 monthly - $29.38
bi-weekly |
Please click on the links below for more
information on the plans and the enrollment forms. All
enrollment cards should be sent back to Human Resource
Management - Benefits Section, 433 Bolivar Street Room 608, New
Orleans, LA 70112.
Dental Rewards Feature
Ameritas dental plan offers a maximum benefit
carryover feature called Dental Rewards. Each year covered
employees and their covered dependents can earn an additional
$250 per member to add to their annual maximum. It's a great
way to increase your annual maximum to cover future expenses.
Covered members can build up to an additional $1,000 to add to
their annual maximum.
How It Works:
In any year that you or your dependents meet
the following criteria that individual will earn the additional
$250.
-
Visit the dentist (and submit the claim) at
least once during the year.
-
Incur claims of $500 or less during a year.
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