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 Provisions
Benefit Year Deductible*
(Single / Family)
$50 / $150
Benefit Year Maximum**
$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 Provisions
Eye Examination
(Including Retinal Imaging)
100% up to $130 per year*
Frames
100% up to $200 per year**
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***
Contact Lens Examination
(Fitting and Evaluation)
100% up to $200 per year†
Contacts
100% up to $200 per year††