2023 Open Enrollment - Dental - Cornell University Division of Human Resources

2023 Open Enrollment - Dental

3 -Which plan should I choose?

Take a look at a side-by-side comparison of costs and benefits under the "Plan Comparison" tab below.

Check out Benefair to get answers from providers and Cornell benefits experts about dental plans!

	Dental Standard		Dental Plus
Topic/Service	In-Network¹	Out-of-Network²	In-Network¹	Out-of-Network²
Deductible	No deductible for Type A, B & C	No deductible for Type A, $50 per member deductible per calendar year for Type B & C, $150 (3 individual $50) family deductible* per calendar year for Type B & C	No deductible for Type A, $50 per member deductible per calendar year for Type B & C, $150 (3 individual $50) family deductible* per calendar year for Type B & C
Annual Maximum Benefit**	$1,250/per person		$5,000/per person
Orthodontia Lifetime Maximum Benefit³	50% of the estimated cost up to $1,000/per child (child only through age 18)		50% of the estimated cost up to $2,000/per person (you, spouse/domestic partner, child through age 18)
Preventive Plus	Type A services will not reduce available maximum		Type A services will not reduce available maximum

	Dental Standard		Dental Plus
Topic/Service	In-Network¹	Out-of-Network²	In-Network¹	Out-of-Network²
Plan Benefit	100% of Negotiated Fee¹	90% of R&C⁴	100% of Negotiated Fee¹	100% of R&C⁴
Exams	4 per year		4 per year
Bitewings	2 per year		2 per year
Full Mouth/Panoramic Xray	1 per 3 years		1 per 3 years
Cleanings	4 per year		4 per year
Fluoride	2 every year; through age 18		2 every year; through age 18
Sealants	Through age 16		Through age 16
Space Maintainers	1 per lifetime per area of the mouth		1 per lifetime per area of the mouth

	Dental Standard		Dental Plus
Topic/Service	In-Network¹	Out-of-Network²	In-Network¹	Out-of-Network²
Plan Benefit	90% of Negotiated Fee¹	70% of R&C⁴	90% of Negotiated Fee¹	90% of R&C⁴
Fillings	Resin or white fillings considered on all teeth		Resin or white fillings considered on all teeth
Surgical Extractions	Extractions, impacted teeth, alveolar orgingival reconstruction, cysts, and neoplasms		Extractions, impacted teeth, alveolar orgingival reconstruction, cysts, and neoplasms
Anesthesia	In connection with oral surgery, extractions or other covered services determined necessary		In connection with oral surgery, extractions or other covered services determined necessary
Occlusal	Night guards are covered		Night guards are covered

	Dental Standard		Dental Plus
Topic/Service	In-Network¹	Out-of-Network²	In-Network¹	Out-of-Network²
Plan Benefit	50% of Negotiated Fee¹	50% of R&C⁴	50% of Negotiated Fee¹	50% of R&C⁴
Endodontics	Root canal		Root canal
Periodontics	Root planing, gingivectomy		Root planing, gingivectomy
Crowns	1 crown per tooth every 5 years		1 crown per tooth every 5 years
Bridges; Dentures	1 per 5 years		1 per 5 years
Implants	1 implant per tooth every 5 years		1 implant per tooth every 5 years

* Orthodontic Service Starting Prior to MetLife: For more information, please see page 5 of the 2023 Endowed Dental Benefit Guide for Cornell University

Open Enrollment for 2023: November 1 - November 21, 2022

We encourage you to use the Workday Decision Enrollment Guide before going into Workday.

	Dental Standard		Dental Plus
	24 Pay Periods	26 Pay Periods	24 Pay Periods	26 Pay Periods
	24 Pay Periods	26 Pay Periods	24 Pay Periods	26 Pay Periods
Employee Only (EE)	$13.58	$12.54	$22.05	$20.35
EE + Spouse/ Domestic Partner	$27.82	$25.68	$44.62	$41.18
EE + Child(ren)	$32.54	$30.03	$50.91	$46.99
EE + Spouse/Domestic Partner plus child(ren) (formerly "family" coverage)	$45.44	$41.94	$71.90	$66.36