LSU Health Sciences Center Human Resource Management
 


LSU System Dental Plans

Employees appointed to work a minimum of 30 hours (75%) per week with an appointment extending beyond 120 days are eligible to participate in the Dental Plan.    You may enroll on or within 30 days after the effective date of the Policy, or on or within 30 days of your employment or completion of any employer requested probationary period (if you are employed after the effective date of the policy).   Once enrolled, you must maintain coverage for a full pan year (July 1 - June 30). Premiums are eligible for tax shelter through the Cafeteria Plan. 

There are two dental options to select from and both are through Ameritas.

  • Option 1 - Enhanced Plan - Annual maximums for Dental services ($1,250/person/calendar year) and Orthodontic benefits ($1,000 lifetime maximum)

  • Option 2 - Basic Plan - Annual maximums for Dental services ($1,000/person/year) and no orthodontic benefits.

Plan benefits:

  • Freedom to select the dentist of your choice or select from the list of contracted providers offering reduced costs for their services.  Most dentists will complete the necessary paperwork and file the claims for you.

  • No pre-existing condition limitations.

  • Pre-determinations are not required before major services are performed.  This allows delivery of necessary care immediately.

  • $100 per person Lifetime deductible for basic and major services.  No deductibles for preventive or orthodontic services.

  • Benefits increase each year of participation reaching maximum level upon the third year of coverage.

  • There is a Benefits Rewards Plan through which you may be able to increase the annual maximum by $250 per year.

  • Orthodontics Services offered under Option 1 Enhanced Plan subject to $1,000 lifetime maximum.

Coverage:

  • No pre-existing condition restrictions.

  • Voluntary access to PPO organizations to help curb costs and save you money.  To request a list of participating providers, visit Ameritas' online directory at www.ameritasgroup.com/provider or call the Managed Care Provider Relations Department  at 1-800-775-8844.

  • Complete freedom of choice in choosing provider.

  • 100% coverage for preventive care.

  • No deductibles for preventive and orthodontic services, where applicable.

  • $100 LIFETIME deductible for basic and major services.

  • Benefits increase with each year of participation with maximum coverage upon reaching year 3 of continuous participation.

Premiums

  Option 1 - Enhanced Plan Option 2 - Basic Plan
Employee Only $28.08 monthly - $14.04 bi-weekly $16.72 monthly - $8.36 bi-weekly
Employee + Spouse $55.20 monthly - $27.60 bi-weekly $31.64 monthly - $15.82 bi-weekly
Employee + Child(ren) $67.16 monthly - $33.58 bi-weekly $43.84 monthly - $21.92 bi-weekly
Family $94.28 monthly - $47.14 bi-weekly $58.76 monthly - $29.38 bi-weekly

Please click on the links below for more information on the plans and the enrollment forms.   All enrollment cards should be sent back to Human Resource Management - Benefits Section,  433 Bolivar Street Room 608, New Orleans, LA 70112.

Dental Rewards Feature

Ameritas dental plan offers a maximum benefit carryover feature called Dental Rewards.  Each year covered employees and their covered dependents can earn an additional $250 per member to add to their annual maximum.  It's a great way to increase your annual maximum to cover future expenses.  Covered members can build up to an additional $1,000 to add to their annual maximum.

How It Works:

In any year that you or your dependents meet the following criteria that individual will earn the additional $250.

  1. Visit the dentist (and submit the claim) at least once during the year.

  2. Incur claims of $500 or less during a year.