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HOME : ADVOCACY : DENTAL PLAN

 

USC VOLUNTARY STUDENT DENTAL PLAN

Dental Plan Outlines

This information is provided your reference and does not reflect an endorsement by the Graduate & Professional Student Senate, the Student Health Center, or the University of Southern California.

USC Dental School - Before cruising the Web, we suggest you visit our very own dental school. Graduate students receive 10% off all services. New patient intake is $50. This includes X-rays and a treatment plan. Emergency drop-ins are $50 (sign-up begins at 6:30 a.m., arrive early for assured service). Appointments last 2-3 hours and the clinic schedule is as follows:

Monday: 8:15-10:00 a.m. & 12:30-2:00 p.m.
Tuesday: 12:30 - 2:00pm
Wednesday: 8:15-10:00 a.m. & 12:30-2:00 p.m.
Thursday: 8:15-10:00 a.m. & 12:30-2:00 p.m.
Friday: 8:15-10:00 a.m. & 12:30-2:00 p.m.

213.740.2805 or 213.740.2800

Dr. Dental Plan - Individual & Family Dental Plan. Dental rates include Vision & Prescription (not to be confused with USC eyeplan or prescription drug benefits)

$9.95 a month = Individual
$15.00 a month = Family (2+)

Initial one-time enrollment fee: $15

Just show up for dental appointment and make co-payment

The dentists are well-established with successful dental practices. All pre-existing conditions are covered except orthodontic treatment already in progress. There are no deductibles, no claim forms to fill out and no limits on visits to the dentist.

Members can save up to 50% on all dental charges including restorative, cosmetic work (fillings, crowns, braces, etc.) and preventative work (teeth cleaning, X-rays, etc.) General dentistry and all specialties where available are covered.

This plan is a high value, low cost, discount fee for service dental coverage plan.

PMI Dental Health Plan, a part of the Delta Dental Plans

Enrollee only (one person):
One-time enrollment fee of $15
$95 per year

Enrollee and one dependent (spouse or child):
One-time enrollment fee of $15
$150 per year

Enrollee and two or more dependents:
One-time enrollment fee of $15
$220 per year

The PacifiCare Dental - 511 Individual Plan

The 511 Individual Dental Plan is a dental HMO plan that allows individuals and their families access to quality dental care. Call Member Service to verify if there is a provider in your area. The toll free number is 800.228.3384.

The plan works just like our other dental HMO plans. Members select an assigned dentist from an approved list of dentists and seek all services through that dentist. This plan does not offer specialty care. All of our dental HMO members have access to the PacifiCare Dental network of dentists, one of the largest dental HMO networks in California. Contracted dentists are routinely rewarded for excellence in member care and service through our innovative Dental Practice Profile System.

Orthodontic benefit
Orthodontic treatment is available through this plan. Members are referred to an orthodontist from the PacifiCare Dental panel. The benefit features a one-time member payment, plus additional payments for startup and retention services. Members can save up to 50% on orthodontic treatment.

511 plan annual rates:
Single $179.40
Couple $283.80
Family $399.36

Blue Cross

Plan Name: PPO Dental Plan
Total Monthly Premium: $ 41.00

Plan Summary
Calendar Year Deductible: $50/Member
Maximum Annual Benefit: $1,000
Waiting Period: None
Enrollment Fee: None

Diagnostic and Preventative Services
Office Visit: 100% coverage Participating Dentist/$25 coverage Non-Participating
Oral Exam: 100% coverage Participating Dentist/$25 coverage Non-Participating
X-rays: 100% coverage Participating Dentist/$60 coverage Non-Participating
Routine Cleaning: 100% coverage Participating Dentist/$39 coverage Non-Participating

Basic Services
Filling - One Surface: $38 coverage (1)
Filling - Two Surfaces: $49 coverage (1)
Filling - Three Surfaces: $60 coverage (1)

Major Services
Scaling and Root Planing (Per Quadrant): $48 coverage (3)
Gingivectomy (Per Quadrant): $145 coverage (3)
Root Canal Anterior: $154 coverage (3)
Root Canal Bicuspid: $189 coverage (3)
Root Canal Molar: $242 coverage (3)
Crown (Porcelain): $264 coverage (3)

Orthodontics
Child: Not Covered
Adult: Not Covered

SmileSaver - Plan 3000EOC

Total Monthly Premium: $17.50

Plan Summary
Calendar Year Deductible: None
Maximum Annual Benefit: None
Waiting Period: None
Enrollment Fee: $16

Diagnostic and Preventative Services
Office Visit: 100% coverage
Oral Exam: 100% coverage
X-rays: 100% coverage
Routine Cleaning: 100% coverage

Basic Services
Filling - One Surface: $9 co-pay
Filling - Two Surfaces: $14 co-pay
Filling - Three Surfaces: $22 co-pay

Major Services
Scaling and Root Planing (Per Quadrant): $35 co-pay (5)
Gingivectomy (Per Quadrant): $85 co-pay (5)
Root Canal Anterior: $100 co-pay
Root Canal Bicuspid: $150 co-pay
Root Canal Molar: $200 co-pay
Crown (Porcelain): $175 co-pay (2)

Orthodontics
Child: $1,600 co-pay
Adult: $1,950 co-pay

SmileSaver - Plan 600EOC

Total Monthly Premium: $7.15

Plan Summary
Calendar Year Deductible: None
Maximum Annual Benefit: None
Waiting Period: None
Enrollment Fee: $16

Diagnostic and Preventative Services
Office Visit: 100% coverage
Oral Exam: 100% coverage
X-rays: 100% coverage
Routine Cleaning: $20 co-pay

Basic Services
Filling - One Surface: $34 co-pay
Filling - Two Surfaces: $45 co-pay
Filling - Three Surfaces: $52 co-pay

Major Services
Scaling and Root Planing (Per Quadrant): $80 co-pay
Gingivectomy (Per Quadrant): $200 co-pay
Root Canal Anterior: $220 co-pay
Root Canal Bicuspid: $260 co-pay
Root Canal Molar: $325 co-pay
Crown (Porcelain): $395 co-pay

Orthodontics
Child: $1,995 co-pay
Adult: $2,300 co-pay

Golden West

Plan Name: Plan 200 Total Monthly Premium: $16.25

Plan Summary
Calendar Year Deductible: None
Maximum Annual Benefit: None
Waiting Period: None
Enrollment Fee: $10

Diagnostic and Preventative Services
Office Visit: 100% coverage
Oral Exam: 100% coverage
X-rays: 100% coverage
Routine Cleaning: 100% coverage

Basic Services
Filling - One Surface: $6 co-pay
Filling - Two Surfaces: $11 co-pay
Filling - Three Surfaces: $13 co-pay

Major Services
Scaling and Root Planing (Per Quadrant): $30 co-pay
Gingivectomy (Per Quadrant): $80 co-pay
Root Canal Anterior: $80 co-pay
Root Canal Bicuspid: $140 co-pay
Root Canal Molar: $195 co-pay
Crown (Porcelain): $170 co-pay (2)

Orthodontics
Child: $1,795 co-pay


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