RIT Student Dental Plan

The RIT Student Dental plan provides cost-effective dental care provided by Excellus Dental Blue network dentists at treatment locations in close proximity to RIT's campus. The plan is underwritten by Excellus Blue Cross Blue Shield of the Rochester Region.

Benefit Details: Option 1 - Standard Option 2 - Enhanced
Annual Maximum $500 $1,000
Deductible $0 $50/150
Coinsurance    
Class I (Preventative) 80% 100%
Class II (Basic Restorative) 50% 80%
Class III (Restorative) not covered 60%
Class IV (Orthodontia) not covered 50%
Premium $253 $580

Preventative

  • Oral exams (twice annually)

  • Dental x-rays

  • Cleanings (twice annually)

  • Emergency treatment to relieve pain

Basic Restorative

  • Fillings

  • Extractions

(Refer to the dental brochure for full description of benefits and exclusions.)

Other important facts:

  • Open enrollment occurs during the first 30 days of each semester.  Enrollment form  must be mailed to Excellus at the address noted on the form.

  • The policy period covers September 1, 2017 to August 31, 2018 or upon receipt of payment if enrollment is after fall semester. No prorating of premium.

  • Dependent coverage can be added for a student with a family.

  • Premium will be billed to the student at the home address.

Note: Refer to Student Dental Plan brochure for specific details and exclusions.

Claims can be submitted by submitting the claim form directly to Excellus.