University of Wisconsin–Madison

Uniform Dental Benefit

If you enroll in State Group Health (SGH) Insurance, you may elect the Uniform Dental Benefit (UDB) for routine preventive and basic dental services. An additional cost will be added to your monthly health insurance premium. If you are not enrolled in SGH, you may elect the Preventive Dental plan to cover basic and preventive dental services.

Uniform Dental
Monthly Premium
Added to your health insurance premium
Employees working less than 50% should review premium costs
$3 (Individual), $10 (Family)
In-Network Providers
No out-of-network coverage
Delta Dental PPO or Premier providers
Annual Deductible None
Annual Benefit Max $1,000 per person
Waiting Period None
Diagnostic and Preventive Services
Routine evaluations, dental cleanings, sealants, bitewing and panoramic X-rays, fluoride treatments 100%
Basic Services
Fillings 100%
Anesthesia (general and IV sedation) 80%
Emergency pain relief 80%
Periodontal Maintenance 80%
Major/Restorative Services
Crowns, bridges, dentures, implants No coverage
Surgical extraction, root canal (endodontics), periodontics (except maintenance), oral surgery No coverage
Non-surgical extractions 90%
Coverage 50% (Under age 19)
Lifetime Maximum $1,500

If you need additional coverage for major/restorative dental services or adult orthodontia, see the supplemental dental options.

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