Your Benefits

Depending on your eligibility status, you have the opportunity to choose one plan from the three offered by Pasco County Schools. Below are highlights of your options to help you choose a plan that best meets your needs. See the Schedule of Benefits documents at the bottom of the chart for complete benefit details.

	Dental HMO* SGC1027	Dental PPO Core Plan & Voluntary Opt-Out Plan
Access to Care	When you enroll in the DHMO plan, you will pre-select a primary care dentist from the network to provide your day-to-day care. Except for Emergency Dental Services, out-of-network benefits are not available through this DMHO plan. Each enrolled family member may select a different participating dentist and has the ability to change dentists up to one time each month.	When you enroll in one of the two PPO plans, you may choose to see any dentist in-network or out-of-network. Out-of-pocket expenses may be higher when using an out-of-network dentist.
Calendar Year Deductible	None	$75 per person $225 per family
Calendar Year Maximum	None	$1500
Co-payments & Co-insurance	Co-payments are set by procedure and all covered procedures are listed on the Schedule of Benefits	In-Network Preventive: 100% General: 90% Major: 60% Out-of-Network Preventive: 80% General: 80% Major: 50%
Non-surgical TMJ	Not Covered	50% up to $1000 Calendar Year Maximum
Adult & Child Orthodontic Services (Braces)	Co-payments by type of service — $1695 for comprehensive treatment	$1000 Lifetime Maximum after Deductible
Waiting Period	None	Core Plan — No waiting period Voluntary (Opt-Out) Plan — 12 month waiting period on Major Services & Non-surgical TMJ
Complete Benefit Details	DHMO Schedule of Benefits DHMO Evidence of Coverage	DPPO Summary of Benefits — Core and Voluntary (Opt-Out) Plans

For more information regarding the plans, you will find full benefit information on the Pasco Employee Benefits Department website.

Enrollment Tips

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Enrolling in the Dental HMO Plan — (SGC1027)

You have only one opportunity each year to change plans and that’s at open enrollment. Important tips to remember:

Review the Schedule of Benefits and Evidence of Coverage before making your decision. They have important information that will help you get the most from your dental benefits. If, after reviewing the plan documents you have any questions, our Customer Service Representatives will be happy to assist you.
Remember to select a general dentist from the participating dentist directory for you and each of your enrolling family members.
Write the Facility Number in the space allotted on your enrollment form.

Enrolling in the Dental PPO Plans — Core Plan & Voluntary (Opt-Out) Plan

You have only one opportunity each year to change plans and that’s at open enrollment. Important tips to remember:

There is no need to "pre-select" a dentist when you enroll.
When choosing a dentist, remember that if you choose to receive care from a participating dentist, you could save on your out-of-pocket costs. Participating dentists have agreed to accept their negotiated fee as payment in full with no balance billing.
Your Summary of Benefits includes the information on how payment is calculated for your plan and is included above along with the plan Exclusions & Limitations. A copy of the Certificate of Insurance is also available above for your review.

Find a Dentist

MyBenefits Login

Once you enroll, MyBenefits is there to help you manage your dental plan. It's your secure member website. You can review your plan information, check your claim history, download a claim form and more.