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A list of the most commonly asked questions.
A Dental Schedule on the UFT Welfare Fund website displays the charges and reimbursements for most procedures. If you use a participating dentist, the procedures in black are free while those in red require a co-payment. If you choose a non-participating dentist, the amount you will be reimbursed is listed.
If you see a participating dentist and authorize the dentist to be paid directly by CIGNA, there will not be a reimbursement to you. If you use a non-participating dentist, your claim will be processed and a reimbursement will be sent to you.
Cleaning for adults is covered every three months. Exams are covered every six months (if using a participating dentist, there is a $15 co-payment).
The $150 co-payment is for a plain metal crown. If you and your dentist agree to use a precious metal crown, there will be additional cost to you.
Crowns, bridges and dentures can be replaced after five years.
If your tooth was impacted, it is considered a medical condition and therefore, the charge must be submitted to your health insurance provider. You may submit any unpaid balance to CIGNA with a copy of the explanation of benefits from your health insurer. CIGNA will pay up to the scheduled amount.
Anesthesia is covered only if you are having surgery, like a tooth extraction.
For pedagogues, the disability benefit is $475 per week; for paraprofessionals and other non-pedagogues, it is $375 a week.
The maximum is 52 weeks based on an individual claim.
Yes. For pedagogues, there is a 28-day unpaid waiting period after your sick bank is exhausted and you have been removed from the DOE payroll. For non-pedagogical employees and paraprofessionals, there is a 14-day unpaid waiting period which begins after you have been removed from the DOE payroll.