July 2013 > Special ANNUAL ENROLLMENT Edition for UT System Employees > Dental Plan Options

Dental Plan Options

For more complete details about each of the current UT dental plans briefly described below, please visit the OEB website.

UT SELECT Dental PPO Plan

UT System continues to offer the UT SELECT Dental plan, a self-funded PPO plan administered by Delta Dental Insurance Company. As a self-funded plan, all claims are paid by UT System. There are no premium changes and the benefits will remain the same for plan year 2013-2014.

UT SELECT Dental Premium Rates 2013 – 2014

Enrollment Tier Premium
(per month)
Employee $30.86
Employee & Spouse $58.58
Employee & Child(ren) $64.57
Employee & Family $91.81

UT SELECT Dental PPO Plan Design Features

Benefits and Covered Services
Diagnostic & Preventive Services 100%
Basic Services 80%
Major Services 50%
Orthodontic Services 50%

UT SELECT Dental Plus Plan

In addition to the standard UT SELECT Dental plan, there is also an enhanced dental plan option called the UT SELECT Dental Plus plan. The UT SELECT Dental Plus plan is a fully-insured plan providing by Delta Dental Insurance Company. For an additional premium, you receive a higher level of benefits with the UT SELECT Dental Plus Plan than with the standard UT SELECT Dental Plan. There are no premium changes and the benefits will remain the same for plan year 2013-2014.

UT SELECT Dental Plus Premium Rates 2013 - 2014

Enrollment Tier Premium
(per month)
Employee $53.19
Employee & Spouse $101.01
Employee & Child(ren) $111.46
Employee & Family $158.80

UT SELECT Dental Plus Plan Design Features

Benefits and Covered Services
Diagnostic & Preventive Services 100%
Basic Services 100%
Major Services 80%
Orthodontic Services 80%

Dental HMO – DeltaCare USA

The DeltaCare USA dental HMO plan has set copayments and no annual deductibles or maximums for covered benefits. There are no premium changes and the benefits will remain the same for plan year 2013-2014.

DeltaCare USA Premium Rates 2013 - 2014

Enrollment Tier Premium
(per month)
Employee $8.55
Employee & Spouse $16.25
Employee & Child(ren) $17.96
Employee & Family $25.65

DeltaCare USA Plan Design Features

Upon enrollment, you must select a new dentist in My UT Benefits during Annual Enrollment or one will be selected for you based on your address. You may call Delta Dental at (800) 893-3582 to find out if your current dentist is in the DeltaCare network.