Principal Dental


Ursus Inc. offers the choice of two different dental plans to help you maintain your oral health. With the Principal Dental plan, you can keep your teeth and gums healthy by getting a free checkup twice a year. If you need treatment or have a dental emergency, the plan also pays a portion of those costs. If you receive in-network services, you will be responsible for any applicable cost sharing, negotiated charges after benefit maximums are met and costs for non-covered services. If you receive out-of-network services, you will be responsible for any applicable cost sharing, charges in excess of the benefit maximum, charges in excess of the negotiated fee schedule amount and charges for non-covered services. 

Dental PPO  
Principal
1500 Basic 99th Ortho
Benefits In Network Out of Network
  Annual Max $1,500 $1,250
  Orthodontia Lifetime Max $1,000 $1,000
Deductible    
  Waived for Preventative Yes Yes
  Individual $50 $75
  Family $150 $225
Co-Insurance    
  Preventive 100% 80%
  Basic  80% 80%
  Major 50% 50%
  Periodontal Surgery Basic
  Endodontic Surgery Basic
Usual & Customary Fee Schedule 99th