New for the 2017-2018 plan year, groups offering Vision and/or Dental benefits to their employees can do so without requiring enrollment under a medical plan.
Members should use their medical ID card when getting a vision exam. MUST plans cover one (1) vision exam per benefit period under the medical plan at 100% of the allowable fee.
VISION (SPD Information)
|MATERIALS||PER LENS||PER PAIR|
|Single vision lenses||$32||$64|
Members may choose one set of glasses (frames and lenses) or one set of contact lenses, but not both, during a given benefit period.
*One pair per year or one year supply of disposable lenses up to $110.
IMPORTANT NOTE: If a participant elects vision or dental coverage, but drops it at the end of the year, there is a two-year waiting period before the coverage can be reinstated. Participants may not drop vision or dental coverage mid-year unless they are also dropping medical coverage.
ELIGIBILTY REQUIREMENT: Employee enrollment is required to enroll any dependents in vision and/or dental benefits.
DENTAL (SPD Information)
|Maximum benefit/period/covered person (Combined type A, B, and C expenses)||$1,250|
|Type A – Diagnostic/Preventive|
|Deductible waived||No co-payment|
|Type B – Routine/Basic Care|
|Deductible waived||20% co-insurance|
|Type C – Major restorative|
|$25 Deductible||50% co-insurance|
|Orthodontia Coverage (for dependents under 19)|
|Maximum lifetime benefit||$1,000|
|$50 deductible||50% co-insurance|