AFA - CWA DENTAL PROGRAM OUTLINE

Union Dental Corp. and your Association of Flight Attendants union leaders have signed an agreement to provide a network of dentists utilizing insurance supplied to you by your employer. THIS NETWORK IS NOT A SECONDARY DENTAL INSURANCE. All dental claims are processed through the airlines’ dental insurance company.

HOW DO YOU BENEFIT BY USING UNION DENTAL PROVIDERS? The Usual, Customary and Reasonable (UCR) fee for a Crown (code 2750) is $925. The dentists in the UDC network will only charge you $618. Your payment responsibility is the difference between the insurance reimbursement and the $618. If the dentist you select is in the PDP network of providers for your insurance provider, then the cost of the Crown is even less and you will save more. In addition to those savings, you can use the coupons in this brochure and save even more money. When you have used your maximum benefits in a given year, our dentists will only charge you the $618 for the crown and NOT the UCR of $925. This formula is used for all procedures performed.

Another example would be the UCR for a root canal (code 3330) which is $975. The dentist in the UDC network would only charge $646. If the dentist you select is in the PDP network of providers for your insurance provider, then the cost of the Root Canal is even less and you will save more. In addition to those savings, you can use the coupons in this brochure and save even more money. When you have used your maximum benefits in a given year, our dentists will only charge you the $646 for the crown and NOT the UCR of $925. Any procedure will be performed at a savings to you by benefit of your union membership.

AFA Members may use any provider in any state at anytime and receive the same benefits. This may be beneficial to extended families or dependents away at college. Uninsured and extended family members may also take advantage of this program, its benefits and the coupons offered because you are an AFA member.

OUT-OF-POCKET RESPONSIBILITY. You will be responsible for the difference between the insurance reimbursement and the cost of the discounted dental procedure which you can view in the Fee Schedule under your dental plan with the Company. These low out-of-pocket payments are estimated at the initial consultation. This initial consultation is provided by the dentist at no charge to you. X-Rays or services provided are NOT included in the consultation. Make sure you have the dentist prepare a treatment plan so you know what your out-of-pocket expenses are before you have any dental work done.

ALL UNINSURED, RETIREES, AND EXTENDED FAMILY MEMBERS

The Union Dental network of dentists will charge you only the fees in the Program Outline (see www.afadental.com) for the procedures outlined because you are an AFA member or retired member. These savings are a significant discount (sometimes more than 25%) from Usual, Customary and Reasonable (UCR) fees charged at their dental offices.

Click here for the Complete Plan Outline!
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DHMO SUBSCRIBERS Our Union Dental/Smilecare Dental offices in California and Nevada will accept your insurance at any of their locations. Just Contact your plan administrator and select Smilecare.
Insurance provider is United Healthcare Services. They have a $50 deductible for employee and $150 deductible for family. Most preventive procedures are covered 100% and all other work is 50%.
Insurance provider is Humana Dental. They have a $25 deductible for employee and $75 deductible for family. Preventative, Basic and Major procedures are covered at 80%. The annual maximum is $1250 per person. Additional lifetime Orthodontia coverage is $1,500 per person.
Benefit package insurance carrier is Dental Dental – Hawaii Dental Service. Preventative is covered at 100% and most other services are covered at 75%. Please refer to your Dental Plan Summary for maximum yearly allowable amount. Orthodontia for Flight Attendants and dependents through age 18 or 23 (full time students) covered at 60% with a lifetime maximum of $1500.
Insurance carrier is Met Life. There is a $50 deductible for employee and $150 deductible for family. Most preventive procedures are covered 100% and all other work is 50%. Annual maximum is $1,000 per person. Additional lifetime Orthodontia coverage of $1,500 per person.
Insurance carrier is Aetna. $25 for employee and $50 deductible for family. There is a separate $100 deductible for orthodontia. Yearly maximum benefit $1,500 per person. There is a $2,000 lifetime orthodontia maximum benefit. The Plan pays 80% of covered charges for allowed procedures for both dental and orthodontic work.
Insurance carrier is Met Life. There is a $50 annual deductible per person. The annual maximum benefit is $1,000 per person. Preventative services are covered at 80%. Basic, Major and Orthodontia Services are covered at 50%. There is an additional $1,500 Maximum Lifetime benefit per dependent child for Orthodontia.
Insurance carrier is MetLife.  There are two levels of coverage; high option and low option. High Option: In-network and out-of-network are essentially the same. Both have deductibles of $50 for Preventive services and $150 for Basic and Major services. Preventive services are covered at 100%. Basic services are covered at 80% (70% out-of-network). Major services are covered at 50%. Annual benefit maximum is $1,000 per person. Orthodontia lifetime maximum is $1,000 per person.

Low Option: In-network: No deductible. Preventive services are covered at 100%; Basic services are covered at 50%; and Major services are covered at 30%. 35% coverage for orthodontia. $1,000 per person annual maximum. $1,000 per person lifetime maximum for orthodontia. Out-of-network: Deductibles of $100/300 (indiv./family). Preventive services are covered at 70%; Basic services are covered at 40% and Major services are covered at 20%. 20% coverage for orthodontia. $500 per person annual maximum. $500 per person lifetime maximum.

 
Benefit package insurance carrier is Delta Dental. PPO Plan with 100% coverage of preventive services. Most other services covered at 70% (Prosthodontics at 50%). No annual benefit maximum. Orthodontia for Flight Attendants and dependents though age 18 or 22. Covered at 60% with a lifetime maximum of $1,500.
Insurance carrier is United Health Group. There is a deductible of $50/individual. The deductible applies to all services except Preventive and Major Care. Preventive care is paid at 100%, Basic at 80%, and Major at 50%. Calendar maximum benefit is $2,000. Note: Orthodontia is not described in the listed services.
Insurance carrier is First Health Dental Guard. Mesa has two programs. One is a PPO and the other is the Non-PPO. PPO annual deductibles are $50/individual and $150/family. The PPO annual maximum benefit is $1,500 per individual. The Non-PPO deductibles are$100/individual and $200/family. The Non-PPO annual maximum benefit is $1,000 per individual. Orthodontia dependents to age 19 years only) benefit limits are $2,000 in the PPO and $1,500 in the Non-PPO program.
Services and % coverage for PPO and Non-PPO are as follows:
Preventive 100% 80%
Basic 80% 60%
Major 50% 50%
Orthodontic 50% 40%
Insurance carrier is United Health Group. There is a two tier plan. Level 1 covers full time employees after 90 days of service or part-time employees who have 2 years of service or 2000 hours. Level II benefits are available for employees who have been covered under level I for at least 12 months. The higher benefit becomes effective the following January 1. Level I benefits include: $75 deductible for preventive services. There is a $150 deductible for Basic, Major restorative, Prosthodontic, and Orthodontic expenses; 100% coverage of preventive services; 70% (after deductible) for Basic services; 50% (after deductible) for Prosthodontic services; Major restorative and Orthodontia is NOT covered. There is a $500 calendar year maximum benefit. Level II benefits include: $25 deductible for preventive services. There is a $50 deductible for Basic; Major restorative, Prosthodontic, and Orthodontic expenses. There is 100% coverage of preventive services; 80% (after deductible) for Basic services and Major restorative; 50% (after deductible) for Prosthodontic services and Orthodontia. There is a $1000 calendar year maximum benefit.
Dental coverage is through the DeltaCare Program, a combination pre-paid, fee for service benefit. No annual dollar maximum except for accidental injury. Orthodontic benefits cover 24 months of active comprehensive orthodontic treatment. Please see your certificate of coverage for complete information.

Benefit package insurance carrier is Delta Dental. Midwest has a Gold PPO Plan and a Silver PPO Plan with different levels of benefits and deductibles for in and out of network.

Gold PPO In-network Gold PPO Out-of-network
No deductibles in-network $50/individual and $150/family
deductible waived for preventive Not waived
$1,500 maximum benefit $1,500 maximum benefit
Preventive coverage 100% Preventive coverage 80%
Basic restorative services 90% Basic restorative services 60%
Major restorative services 50% Major restorative services 50%
Orthodontia 60% Orthodontia 60%
lifetime max. $2000 Lifetime max. $1,500
   
Silver PPO In-network Silver PPO Out-of-Network
$25/individual; $75/family $50/individual and $150/family
deductible waived for preventive Not waived
$1,200 maximum benefit $1,200 maximum benefit
Preventive coverage 100% Preventive coverage 70%
Basic restorative services 80% Basic restorative services 50%
Major restorative services 50% Major restorative services 50%
Orthodontia 50% Orthodontia 50%
lifetime max. $1,500 Lifetime max. $1,200
Insurance is administered by Delta Dental. There is a calendar year deductible of $50/individual and $125/family. Covers two fluoride treatments (under 19 years of age) per year; two cleanings per year; and two routine oral exams each year. There is a $2,000 annual benefit for Class I (preventive) covers 90%; Class II (minor restorative) 80% after deductible; & Class III (major Restorative, including implants as long as it is not for cosmetic reasons) 60% after deductible. There is a $2,000 lifetime benefit for Class IV (Orthodontia) 50%.
The Dental Plan for Piedmont has a $1,000 per person annual maximum. Preventative is covered at 100% with no deductible. Basic is covered at 85% with a $50 deductible. Major is covered at 50% with a $50 deductible. Orthodontia is available only to dependent children. The lifetime maximum is $1000 per child with a $50 deductible.
Insurance carrier is Anthem BlueCross/BlueShield. There is an annual deductible of $100/person and $300/family. Certain preventive services are not subject to the deductible and are covered 100%. These include 2 oral examinations per year, bite-wing x-rays, two cleaning per year, topical fluoride, space maintenance, and emergency treatment for pain. Other services are covered at either 85% or 60% after payment of the deductible. Orthodontia is covered at 60% for both children and adults. There is a lifetime maximum benefit of $1,500 per covered person. There is a yearly maximum benefit of $1,500 per person.
Insurance carrier is Aetna. Spirit has a DMO. The DMO schedule provides a list of services and procedures for which a patient pays amount specified. There are no charges for diagnostic and most preventive services. There is a yearly deductible of $50/individual and $150/family. The deductible applies to Basic and Major services only. Preventive services are paid at 100%, Basic services at 80%, and Major services at 50%. The annual maximum benefit for dental services is $1,000. Major restorative services have a lifetime maximum of $1,000. The comprehensive charge for orthodontia is $1,545 (both children and adults). There are separate fees for the screening exam, diagnostic records, and retention.
Insurance carrier is MetLife. There is a traditional dental plan and a dental HMO (DMO). Traditional Plan: Deductibles of $50/individual and $100/family. There is coverage of 100/80/50 for preventive, basic, and major services; 50% coverage for Orthodontia. The annual maximum benefit per person is $2,000. The lifetime maximum per person is $2,000 DMO: No deductible. No annual maximum for Aetna DMO and $2,000 for Dental Network. There is 100% coverage for preventive and basic services; Various rates (70-75%) and co-payments for other services, depending on plan.
Insurance carrier is MetLife. There is no deductibles in-network. There is a $50/individual; $100/ family deductible out-of-network. Coverage includes 100% preventative; 80% minor; 50% major. There is a yearly maximum benefit of $1,500 per person in-network; $1,000 out-of-network. There is Orthodontia coverage in-network 50% of discounted fee; out-of-network 50% of usual and customary charge. Not subject to annual maximum but is subject to $2,000 lifetime maximum benefit. This $2,000 includes network and non-network charges.