The University’s dental plan, administered by Arkansas BlueCross BlueShield, offers coverage for preventive, basic and major services, plus orthodontia services for children under age 18. The annual maximum benefit per person per calendar year is $1,500.
However, if you or an enrolled dependent receives benefits of less than $750 in a calendar year, up to $375 of unused benefits will rollover into the following year. The accumulated rollover maximum is $1,500.
Annual Benefit Maximum Rollover Rules Your rollover amount will be added to your annual maximum benefit 60 days after the last day of the calendar year. You (or your enrolled dependent) can use rollover money it that year and future years. You (or your enrolled dependent) must meet four conditions to be eligible for the rollover:
Receive at least one covered preventive service during the calendar year
Pay less in total claims than the yearly threshold amount (see chart below)
Be enrolled in the dental plan on the last day of the calendar year
Keep your total rollover balance less than the accumulated maximum rollover amount.
Here’s how much you’ll pay for dental services:
$50/person ($100 maximum/family)
Annual Maximum Benefit
Preventive Care (e.g., cleanings, exams, x-rays)
No cost (and no deductible)
10% (no deductible)
Basic Care (e.g., fillings, extractions, root canals)
20% after deductible
28% after deductible
Major Care (e.g., crowns, bridges, partials, implants)
50% after deductible
55% after deductible
Orthodontia (dependent children under age 18)
Lifetime Maximum Benefit
If you visit an out-of-network dentist, you will pay more for services. And, you will pay 100% of the difference between the full out-of-network cost and the reasonable and customary level charged by Arkansas BlueCross and BlueShield. So you’ll always save money by visiting a dentist in the Select PPO Plus Network.