State of Maryland PPO Allowances for Maryland 2007 - 2008 UCCI PPO Allowances

PPO Network: UNC has selected a Preferred Provider Organization (PPO) so Covered Persons will receive benefits at the Negotiated Allowance.

Non-PPO: 45% of our allowance (AWP); up to a 90-day supply: Mail Service Prescription Drug Program $10 generic/$35 brand name per prescription; up to a 90-day supply

Payment for covered services performed for you by a Delta Dental PPO dentist is calculated based on the Delta Dental PPO Maximum Allowance. Delta Dental PPO dentists have agreed to ...

Denture adjustments and repairs None: None: PPO: 45% of the Plan allowance Non-PPO: 45% of the Plan allowance and any difference between our allowance and the billed amount