Delta Dental Plan Option for
George Washington University Students
DELTA DENTAL PPO PLAN
2024-2025 Policy Year
Dear Students,
University Health Plans is pleased to offer a comprehensive dental option to students attending George Washington University and their dependents. Enrollment in this plan is VOLUNTARY; it is not required insurance.
As with any insurance plan, please make sure that you have read the Summary of Benefits information before enrolling. The benefits listed on the Summary of Benefits flyer are subject to change. The most up-to-date benefit schedule can be found on this page at any time during the policy year.
PARTICIPATING PROVIDER INFORMATION: You do not need to select a primary care dentist while enrolled in this Plan. Members who choose to see a provider in the Delta Dental PPO network will receive the greatest out-of-pocket savings. Members who choose to see a provider in the Delta Dental Premier network will pay a slightly higher co-insurance for certain services but will still be eligible for network discounts. Members who choose to see a provider that is not in either network will pay a slightly higher co-insurance for certain services and can be balance billed by the provider. Please be sure to review the Plan Summary for additional explanation and coverage information.
Students and dependents who wish to enroll in this plan MUST submit the online enrollment form and pay the full premium amount online via credit card no later than midnight on the posted deadline for their selected coverage period. The enrollment deadline for coverage effective January 1, 2025 through August 31, 2025 is midnight, December 15, 2024. Enrollment will be processed AFTER the deadline. Once processed, coveage will be effective January 1, 2025.
The total cost for coverage is as follows:
| Premium | Admin Fee* | Total Cost | |
| Student Only: | $303.36 | $28.64 | $332.00 |
| Student & 1 Dependent: | $582.72 | $57.28 | $640.00 |
| Student & 2 or more Dependents: | $1,141.68 | $114.32 | $1,256.00 |
*an administrative fee is included for system processing, platform management and credit card processing.
IMPORTANT: Please review the Summary of Benefits Information BEFORE enrolling. When locating an in-network provider use the link in the navigation menu.
Should you have any questions regarding the enrollment process, please contact University Health Plans via email at info@univhealthplans.com or at 800-437-6448.
