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Mailing Address: U.Va. Human Resources 914 Emmet Street P.O. Box 400127 Charlottesville, VA 22904 Phone: 434.982.0123 Email: hrdept@virginia.edu

Benefits Summary for Classified Staff & Research Assistant/Associates Health Insurance Dental Services Mental Health and Substance Abuse Services Prescription Drug Program Claims Inquiries Accidental Death and Dismemberment Miscellaneous Benefits Retirement Long-Term Care Insurance Termination Information Pre-Retirement Guide Flexible Spending Accounts Privacy Notice Life Insurance Tax-Deferred Savings Program Disability Insurance Matching Contribution Retirement Plan Discount Vision Plan View All/Print Benefits While On Leave Without Pay Vision Insurance New Hire Orientation Guide Effective January 1, 2009 Dental Services The UVa Health Plan provides $1,500 per person each calendar year for dental benefits. Coverage is 100 percent of the allowable charge for diagnostic and preventative services including two cleanings annually. After a $50 deductible is satisfied, coverage for primary and periodontal services is 80 percent of the allowable charge and 50 percent for complex restorative services. Coverage for orthodontia services is 50 percent of the allowable charge. The lifetime orthodontia maximum is $1000 per person. This benefit is separate from the annual maximum dental benefit. When United Concordia participating dentists are used, participants receive the maximum benefits available. Members may be balance-billed and incur more expenses if non-participating dentists are used. A current listing of network dental providers can be found at United Concordia's website.

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