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Johns Hopkins Bloomberg School of Public Health
April 21, 2014
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Student Dental Insurance

Optional - Read Carefully!

If you are currently enrolled in DHMO or Access Dental Insurance Plan and would like to continue your enrollment in the dental plan for Academic Year 2013-14, please take a moment to read this very important information.

All students currently enrolled in the Dental Insurance Plan will have their plan automatically terminated effective July 1, 2013.

Students interested in enrolling in United Concordia dental plan for AY 2013-14 MUST complete the appropriate enrollment form located on this website.  Please fax (410) 614-8633, email ekoimur@jhsph.edu  or deliver (Suite W1101) your completed form by June 15, 2013

You may obtain more information regarding each plan by visiting our site. If you are graduating or will no longer be a registered student at the Bloomberg School of Public Health you are not eligible for dental coverage.

The plans are effective July 1, 2013 through June 30, 2014.  You must enroll for the entire year, terminations are not allowed once enrolled. Premiums will be posted to your July 2013 statement and will be due July 20, 2013. Please find the rates listed below:

New students have the option of enrolling during in-person registration.  Continuing student deadline - June 14, 2013 with coverage effective July 1, 2013.  New student deadline - July 12, 2013 with coverage effective August 1, 2013. Fall deadline - September 6, 2013 with coverage effective October 1, 2013.  Yearly premiums will be posted to the student's account at that time.

Plan I:  DHMO  -

DHMO FORM - PLEASE DO NOT INCLUDE SOCIAL SECURITY NUMBER

Monthly Insurance Rates

  • Individual                       $16.89
  • Husband & Wife               $33.78
  • Individual & child(ren)       $33.78
  • Family (includes spouse)   $48.56

Plan Summary

  • pick a primary dentist (https://secure.ucci.com/ducdws/home.xhtml)
  • co-payment for each service stated in brochure - no questions on price (see co-pay list)
  • all class I services have $0 co-pay
  • $5 co-pay for office visit
  • all class II and III have higher co-pays
  • no claims – pay at visit
  • no deductible or maximum       

Plan 2:  Access Plan - 

ACCESS FORM - PLEASE DO NOT INCLUDE SOCIAL SECURITY NUMBER

Monthly Insurance Rates

  • Individual                       $12.67
  • Husband & Wife               $22.17
  • Individual & child(ren)       $28.17
  • Family (includes spouse)   $42.23

Plan Summary

  • no primary dentist - larger network ( https://secure.ucci.com/ducdws/home.xhtml)
  • all class I services are covered 100% up to $500 maximum annually
  • all class II and III are discounted 20-30% off usual cost varying by dentist
  • no brochure with pricing – you must contact individual dentist for their rates
  • no claims – pay at visit
  • $25 annual deductible

  

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