Dental and vision plans
View comprehensive and affordable Dental and Vision Plans.
Dental Plans
Dental plans include preventive services such as exams, x-rays, cleanings, and others. And employees can choose any provider. This plan does not carry secondary insurance coverage to pay for the costs for Covered Dental Services therefore, funding the costs of Covered Dental Services is solely the employer’s responsibility.
| Dental Services | Plan Provision |
| Benefit Year Deductible Applies to Basic and Major Services Only | $50 Per Individual / $150 Per Family |
| Benefit Year Maximum Applies to Class A Services (Preventive), Class B Services (Basic), and Class C Services (Major) | $1000 |
| Covered Services | Plan Liability |
| Class A Services – Preventive | 100% (Deductible Waived) |
| Class B Services – Basic | 80% After Deductible |
| Class C Services – Major | 50% After Deductible |
| Schedule of Benefits |
Dental Services
Plan Provisions | |
| Benefit Year Deductible Applies to Basic and Major Services Only.) | $50 Per Individual / $150 Per Family |
| Benefit Year Maximum Applies to Class A Services (Preventive), Class B Services (Basic), and Class C Services (Major). | $1,000 |
Covered Services
Plan Liability | |
| Class A Services – Preventive | 100% (Deductible Waived) |
| Class B Services – Basic | 80% After Deductible |
| Class C Services – Major | 50% After Deductible |
Vision Plans
Vision plans can be added to any coverage and include eye exams, frames, and contact lenses. This plan does not carry secondary insurance coverage to pay for the costs for Covered Dental Services therefore, funding the costs of Covered Dental Services is solely the employer’s responsibility.
| Vision Services | Plan Provision |
| Eye Examination (Including Retinal Imaging) | 100% up to $130 per year (Limited to 1 exam every 12 months; includes dilation of eyes) |
| Frames | 100% up to $200 per year (Limited to 1 pair every 24 months) |
| Eyeglass Lenses | Single Vision Lens: 100% up to $120 per year Lined Bifocal Lens: 100% up to $170 per year Lined Trifocal Lens: 100% up to $260 per year Lenticular Lens: 100% up to $290 per year Progressive Standard Lens: 100% up to $290 per year Progressive Premium Lens: 100% up to $390 per year Additional Lens Enhancements subject to the allowance for the applicable corrective lens including scratch-resistant coating, tints, anti-reflective coating, and polycarbonate lens. (Limited to 1 pair every 12 months) |
| Contact Lens Exam (Fitting and Evaluation) | 100% up to $200 per year (Limited to 1 exam every 12 months) |
| Contact Lenses | 100% up to $200 per year (Limited to 1 pair every 12 months; disposables limited to 4 boxes every 12 months) |
| Schedule of Benefits |
Vision Services
Plan Provisions | |
| Eye Examination (Including Retinal Imaging) | 100% up to $130 per year (Limited to 1 exam every 12 months; includes dilation of eyes) |
| Frames | 100% up to $200 per year (Limited to 1 pair every 24 months) |
| Eyeglass Lenses |
Single Vision Lens: 100% up to $120 per year Lined Bifocal Lens: 100% up to $170 per year Lined Trifocal Lens: 100% up to $260 per year Lenticular Lens: 100% up to $290 per year Progressive Standard Lens: 100% up to $290 per year Progressive Premium Lens: 100% up to $390 per year Additional Lens Enhancements subject to the allowance for the applicable corrective lens including scratch-resistant coating, tints, anti-reflective coating, and polycarbonate lens. (Limited to 1 pair every 12 months) |
| Contact Lens Examination (Fitting and Evaluation) | 100% up to $200 per year (Limited to 1 exam every 12 months) |
| Contact Lenses | 100% up to $200 per year (Limited to 1 pair every 12 months; disposables limited to 4 boxes every 12 months) |
| Schedule of Benefits | |
Find a provider.
Plans offer a robust provider network and plan options that allow employees to switch from other health coverage while maintaining the benefit coverage they’ve come to expect.
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