Insurance Plans

We Have a Total Of 3 Insurance Plans

The following chart reflects a summary of the coverage for information purposes only. Please refer to the Plan Document for detailed coverage including limitations and exclusions.

Penn Dental Plan for University Employees and Dependents

Penn Dental Plan for University Employees and DependentsPFP Dental Plan for Faculty & Staff of the University of Pennsylvania.
Maximum Annual Coverage Per Individual: $3,000.

Insurance Plan Coverage

Coverage100%
Diagnostic & Preventive Care

Routine examinations and prophys/cleanings (twice annually), Radiographs, fluoride applications and sealants (for children up to age 14).

Coverage100%
Restorative Care

Composites (tooth-colored fillings); co-pays may apply on certain procedures.

Coverage100%
Oral Surgery

Typically covered under your medical plan; for complex extractions, a co-pay may apply.

Coverage80%
Endodontics & Periodontics

Endo: Root canal therapy, pulp treatment, pulpotomy, apicoectomy. Perio (gum treatment): Surgical and non-surgical periodontics including subgingival curettage, scaling and root planing, periodontal maintenance.

Coverage60%
Prosthodontics

Crowns, bridges, inlays, and dentures

Coverage50%
Implant Surgery

Implant surgery is covered at 50% and crown restoration is covered at 60%. Other components not covered such as bone & abutment may be required.

Coverage60%
Orthodontics (adult & child) – including Invisalign

One orthodontic treatment per lifetime for children and adults, subject to a maximum $2,000 benefit.

Coverage50%
Cosmetic & Occlusal Nightguards

Bleaching is excluded from the Cosmetic benefit, although the fee has been significantly reduced. Occlusal Nightguards limited to 1 in 5 years.

Penn Dental Plan for UPHS Employees and Dependents

Penn Dental Plan for UPHS Employees and DependentsDental Plan for University of Penn Health System Employees and Dependents.
Maximum Annual Coverage Per Individual: $3,000.
Annual Deductible: $50/person ($150/family)

Insurance Plan Coverage

Coverage100%
Diagnostic and Preventive Care

Routine examinations and prophys/cleanings (twice annually), Radiographs, fluoride applications and sealants (for children up to age 14).

Coverage80%
Restorative Care

Composites (tooth-colored fillings); co-pays may apply on certain procedures.

Coverage80%
Oral Surgery

Typically covered under your medical plan; for complex extractions, a co-pay may apply.

Coverage80%
Endodontics & Periodontics

Endo: Root canal therapy, pulp treatment, pulpotomy, apicoectomy. Perio (gum treatment): Surgical and non-surgical periodontics including subgingival curettage, scaling and root planing, periodontal maintenance.

Coverage50%
Prosthodontics

Crowns, bridges, inlays, and dentures

Coverage50%
Implant Surgery

Implant surgery is covered at 50% and crown restoration is covered at 60%. Other components not covered such as bone & abutment may be required.

Coverage60%
Orthodontics (adult & child) – including Invisalign

One orthodontic treatment per lifetime for children and adults, subject to a maximum $2,000 lifetime benefit.

Coverage50%
Occlusal Nightguards

Occlusal Nightguards limited to 1 in 5 years.

Penn Dental Plan for Students of the University of Pennsylvania

Penn Dental Plan for Students of the University of PennsylvaniaDental Plan for Students of the University of Pennsylvania.
Maximum Annual Coverage Per Individual: $1,500.
Annual Coverage Per Individual: $1,500 / Annual Premium Cost: $429 / Annual Deductible: $50

Students Enroll Here

Insurance Plan Coverage

Coverage100%
Diagnostic and Preventive Care

Routine examinations and prophys/cleanings (twice annually), Radiographs, fluoride applications and sealants (for children up to age 14).

Coverage80%
Restorative Care

Composites (tooth-colored fillings); co-pays may apply on certain procedures.

Coverage80%
Oral Surgery

Typically covered under your medical plan; for complex extractions, a co-pay may apply.

Coverage80%
Endodontics & Periodontics

Endo: Root canal therapy, pulp treatment, pulpotomy, apicoectomy. Perio (gum treatment): Surgical and non-surgical periodontics including subgingival curettage, scaling and root planing, periodontal maintenance.

Coverage50%
Prosthodontics

Crowns, bridges, inlays, and dentures

Coverage50%
Implant Surgery

Implant surgery is covered at 50% and crown restoration is covered at 50%. Other components not covered such as bone & abutment may be required

Coverage50%
Orthodontics – including Invisalign

One orthodontic treatment per lifetime for children and adults, subject to a maximum $1,500 benefit.

Coverage50%
Occlusal Nightguards

Occlusal Nightguards.