Vision and Dental Information
Vision and Dental Benefits
Vision benefits will be through GVS (Group Vision Services)
Vision Benefits - Frequency (exams,frames,lenses) / 12/12/12 months
Routine Eye Exam - $5 copay
Frames - $150 allowance / 20% off the balance
Lens - Single vision, bifocal, trifocal - $0 copay
Contact Lenses - Elective conventional (non-disposable) - $150 allowance / 15% off the balance
Elective disposable - $150 allowance / no additional discount
Non-elective (medically necessary) - $250 allowance
Dental benefits will be through Delta Dental
Dental Benefits - Annual maximum - $1,000.00
Ortho. Lifetime - not provided
Deductible - $50 (does not apply to preventive; deductible is per patient)
Coinsurance - Preventive 100%, Basic 75%, Major 50%