UGS Dental Plan

Pathfinder Services has contracted with Unified Group Services for dental insurance. Employees can cover themselves and their eligible dependents on the dental plan. The dental insurance includes coverage for preventive, basic, and major services. You get the freedom to visit any doctor of your choosing. There is not a network for this Dental Plan. Electing Dental automatically enrolls you in Vision.

Dental and Vision ID cards are combined on one card. If you are currently enrolled in Dental and Vision coverage, you will not receive a new card.

Services
In-Network Benefits
Carrier

Unified Group Services

Web Site
www.Unifiedgrp.com
Deductible
Applies to basic and major services only-
Individual: $50; Family: $150

Annual Maximum

$1,000/ person
Preventive Services
Routine Exams
Fillings

Routine Oral exams, Cleanings, X-rays (bitewing; periapical; full mouth), Fluoride Treatment (for dependent children under age 19), Sealants (for dependent children under age 19), Space Maintainers (for dependent children under age 19).

Paid at 100%, no deductible

Basic Services
Endodontics
Periodontics

Emergency exams, Periodontics, Periodontal maintenance, Endodontics, Fillings, Repairs, Simple Extractions, Surgical Extractions, General Anesthesia

Paid at 80% after deductible

Major Service
Orthodontia

Crowns, Inlays, Onlays, cast post and core, core buildup, Bridges, Full and Partial Dentures, Repair of Crowns, Bridgework and Removable Dentures (within policy limits)

Orhodontia lifetime max $1500 (for dependent children under age 19)

Paid at 50% after deductible

UGS Vision Plan

Pathfinder Services has also contracted with Unified Service Group for vision insurance. Employees can purchase vision insurance coverage for themselves and their eligible dependents. The insurance covers the services identified below at certain copays and frequency with no network limitations. There is not a network for Vision. Electing Dental automatically enrolls you in Vision.

Dental and Vision ID cards are combined on one card. If you are currently enrolled in Dental and Vision coverage, you will not receive a new card.

Services In-Network Benefits
Carrier
UGS
Website
www.Unifiedgrp.com
Routine Vision Exam
100% paid by Plan
Once per calendar year
Frames

up to $85 maximum frame allowance

Once every 24 months

Lenses

Single $40 allowance

Bi-Focal $50 allowance

Tri-Focal $60 allowance

Lenticular $70 allowance

Once every 24 months

Contacts

Elective Contact Lenses - up to $125 maximum allowance Once every 24 months

DENTAL & VISION PER PAY PERIOD (26 pays)
Employee
$6.60
Employee + Child(ren)
$13.20
Employee + Spouse
$19.80
Family
$19.80
Dental and Vision Benefit Summary

Manage your benefits in Employee Navigator through your Paylocity account.

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