TABLE OF CONTENTS DESCRIPTION. Website and Contacts 2

Size: px
Start display at page:

Download "TABLE OF CONTENTS DESCRIPTION. Website and Contacts 2"

Transcription

1 TABLE OF CONTENTS DESCRIPTION PAGE Website and Contacts 2 Health Insurance Health Insurance Rates 4 Health Insurance Calculations 5 Benefit Overview 6 Vantage 2000/25/60 Benefit Details 7-8 Dental Insurance Dental & Vision Rates 10 Dental Benefit Details 11 Vision Benefit Details 12

2 WEBSITE AND CONTACTS To view this booklet as well as claim forms and provider lookups, go to We have also created a new ticket system, allowing you to create a support ticket on our website. This system can be used for things like claims problems, provider directories, address changes, etc. Once the ticket is created, you will automatically be assigned a ticket number and login credentials to view the status of your ticket 24 hours a day. This system is SSL secured and allows for documents to be scanned and uploaded. To create a support ticket, go to CONTACTS National Headquarters PO Box 1472 Virginia Beach, VA Ph F President W. Brandon Beavers Cell: Office: Extension 110 Director of Benefits Amy Thompson Direct: Office: Extension 112 For a complete list of Limitations and Exclusions, as well as the ACA Mandated Summary of Coverage and Benefits go to: Page 2 Emergency Restoration Services Employee Benefits

3 HEALTH INSURANCE HEALTH BENEFIT COMPARISON HEALTH BENEFIT DETAILS

4 HEALTH INSURANCE RATES Page 4 Employee Weekly Rates Dependent Weekly Rates Emergency Restoration Services Employee Benefits

5 CALCULATING YOUR PAYROLL DEDUCTION Each person in the family has their own rate. Due to ACA, you have to find each person s age in your family and add them up to find your total weekly rate. Please use the calculator below as a guide: Employee Rate: Spouse Rate: Child 1 Rate: Child 2 Rate: Child 3 Rate: Total Weekly Rate: = **All rates shown are weekly. Optima charges for the first three children ONLY. Any additional children have no cost. If your deduction is $0 or less, there will be no deduction from payroll. Page 5 Emergency Restoration Services Employee Benefits

6 HEALTH BENEFIT OVERVIEW BENEFITS AND FEATURES For a complete list of Limitations and Exclusions, as well as the ACA Mandated Summary of Coverage and Benefits go to: Emergency Restoration Services Employee Benefits Page 6

7 OPTIMA VANTAGE 2000/25/70 BENEFIT DETAILS Page 7 Emergency Restoration Services Employee Benefits

8 OPTIMA VANTAGE 2000/25/70 BENEFIT DETAILS Emergency Restoration Services Employee Benefits Page 8

9 DENTAL & VISION INSURANCE DENTAL & VISION RATES DENTAL & VISION BENEFIT PLAN

10 DENTAL & VISION INSURANCE RATES DENTAL & VISION RATES If you elect dental, vision is included for the same price Effective November 1, 2015 Weekly Payroll Deduction United Concordia Employee Only $8.07 Employee + Spouse $14.93 Employee + Child(ren) $14.38 Family $23.37 Page 10 Emergency Restoration Services Employee Benefits

11 DENTAL PPO BENEFIT DETAIL Emergency Restoration Services Employee Benefits Page 11

12 VISION BENEFIT DETAILS UCVision Plan II UCVision Benefits Plan II Details In-Network Coverage Eye Examination Eye Exam (with dilation when professionally indicated) Frames Collection Non-Collection Spectacle Lenses Clear glass or plastic lenses in single vision, bifocal, trifocal or lenticular prescription Spectacle Lens Options Oversize Lenses Tinting of Plastic Lenses Scratch-Resistant Coating Frequency (once every) Member Pays 12 months $0 24 months Fashion: $0 Designer: $0 Premier: $25 $0 ($130 allowance, 20% discount on remaining balance*) 12 months $15 $30 Polycarbonate Lenses ($0 for dependent children, monocular patients and patients with prescriptions +/ diopters or greater) Ultraviolet Coating $12 Anti-Reflective Coating (Standard / Premium / Ultra) $35 / $48 / $60 12 months Progressive Lenses (Standard / Premium) $50 / $90 Intermediate-Vision Lenses $30 Blended-Segment Lenses $20 High-Index Lenses $55 Polarized Lenses $75 Photochromic Glass Lenses $20 Plastic Photosensitive Lenses $65 Scratch Protection Plan (Single Vision / Multifocal) $20 / $40 Contact Lenses (in lieu of eyeglasses) Collection: $15 Contact Lens Evaluation, Fitting & Follow-up care Non-Collection: Member receives 15% discount 12 months Collection: $0 (up to 8 boxes) Contact Lenses Non-Collection: $0 ($130 allowance, 15% discount on remaining balance*) Value-Added Features One-Year Eyeglass Breakage Warranty Lens123 Membership $0 Laser Vision Correction Member receives up to 25% discount on providerr s usual fee, or 5% discount on advertised specials, whichever is lower Out-of-Network Coverage Frequency (once every) Member Reimbursement Eye Exam 12 months up to $45 Frames 24 months up to $50 Single Vision up to $40 Bifocal up to $60 Spectacle Lenses Trifocal up to $80 12 months Lenticular up to $90 Non-Collection Contact Lenses (includes evaluation, fitting & follow-up care) up to $120 Representative listing of covered services certificate of coverage provides a detailed description of benefits. UCVision benefits administered by Davis Vision, Inc. Discounts and value-added features not underwritten by United Concordia Dental. *Discount does not apply to services or materials from a Walmart or Sam s Club vision center. Contact your United Concordia Dental representative for more information. UnitedConcordia.com $0 Page 12 Emergency Restoration Services Employee Benefits

Section. Vision Care Benefits

Section. Vision Care Benefits Section G Vision Care Benefits Section Page Eligibility...G. 1 Benefit Year...G. 1 Benefit Options...G. 1 Schedule of Benefits...G. 1 Charges Not Covered...G. 1 Specific Details of Your Vision Care Benefit

More information

Vision Benefit Summary

Vision Benefit Summary Hobart and William Smith Colleges Group Number: 00481947 Vision Benefit Summary About Your Benefits: Eye care is a vital component of a healthy lifestyle. With vision insurance, having regular exams and

More information

HIGHMARK VISION COVERAGE MAKES IT EASY TO GET VISION CARE

HIGHMARK VISION COVERAGE MAKES IT EASY TO GET VISION CARE HIGHMARK VISION COVERAGE MAKES IT EASY TO GET VISION CARE You know the importance of vision care. Regular eye exams are an important part of overall preventive health care. According to the Vision Council

More information

Vision Care Rider. Premier Option. Definitions

Vision Care Rider. Premier Option. Definitions Vision Care Rider Premier Option This Vision Care Rider is made part of, and is in addition to any information you may have in your Blue Cross and Blue Shield of New Mexico (BCBSNM) member benefit booklet

More information

The Railroad Employees National Vision Plan

The Railroad Employees National Vision Plan The Railroad Employees National Vision Plan Effective January 1, 2013, your Vision Plan benefits will be provided by EyeMed Vision Care. There is no change to the Plan design but there will be a few enhancements.

More information

Health Choice Essential Gold Standard Gold Off Exchange Plan Network: Health Choice Essential Type of Coverage: HMO

Health Choice Essential Gold Standard Gold Off Exchange Plan Network: Health Choice Essential Type of Coverage: HMO Subscriber ID: [XXXXXXX] Health Choice Essential Gold Standard Gold Off Exchange Plan Network: Health Choice Essential Type of Coverage: HMO EOC Effective Date: [XX/XX/XXXX] Subscriber: [Subscriber Name]

More information

Group Vision Insurance SUMMARY OF BENEFITS

Group Vision Insurance SUMMARY OF BENEFITS Group Vision Insurance SUMMARY OF BENEFITS Sponsored By Salamandar Farms, LLC Effective Date: February 1, 2013 All Active Full-Time Salamander Farms Employees You may choose any provider. However, using

More information

USI Affinity Vision Plan Benefits

USI Affinity Vision Plan Benefits USI Affinity Vision Plan Benefits Vision Class Description All Eligible Members All Eligible Members Plan Name M00D-0/0 Low Plan M50A-0/0 High Plan Eye Examination Comprehensive exam of visual functions

More information

Vision Care Plan. 2016 Plan Year

Vision Care Plan. 2016 Plan Year Vision Care Plan 2016 Plan Year This Coverage Information Section of the Summary Plan Description ( SPD ) for Sprint Vision Care Plan has been created using simple terms and in an easy-to-understand format

More information

Vision Care Program. Vision Discounts Voluntary Vision Benefits LASIK Discounts

Vision Care Program. Vision Discounts Voluntary Vision Benefits LASIK Discounts Vision Care Program Vision Discounts Voluntary Vision Benefits LASIK Discounts Vision Care Program by EyeMed Easy to use Simply visit the participating provider closest to you and present your Vision Care

More information

VISION SERVICE PLAN INSURANCE COMPANY PLEASE ATTACH TO YOUR GROUP VISION CARE PLAN AMENDMENT TO GROUP VISION CARE PLAN

VISION SERVICE PLAN INSURANCE COMPANY PLEASE ATTACH TO YOUR GROUP VISION CARE PLAN AMENDMENT TO GROUP VISION CARE PLAN VISION SERVICE PLAN INSURANCE COMPANY PLEASE ATTACH TO YOUR GROUP VISION CARE PLAN AMENDMENT TO GROUP VISION CARE PLAN To be attached to and made part of Group Vision Care Plan Number 12091990 issued to

More information

THE EPIC LIFE INSURANCE COMPANY

THE EPIC LIFE INSURANCE COMPANY THE EPIC LIFE INSURANCE COMPANY VISION BENEFITS ENDORSEMENT FOR WSE SUPPLEMENTAL DENTAL, HOSPITAL INDEMNITY AND ACCIDENTAL DEATH AND DISMEMBERMENT CERTIFICATE In consideration of the premiums charged by

More information

Vision Benefits. January 2013

Vision Benefits. January 2013 Vision Benefits January 2013 As a benefits-eligible associate at Advocate, you have the opportunity to choose optional coverage providing benefits for vision care services. This coverage featuring primary

More information

Balanced Care VisionSM. Choice Vision Insurance that Helps Employers Balance Features and Cost

Balanced Care VisionSM. Choice Vision Insurance that Helps Employers Balance Features and Cost Balanced Care VisionSM Choice Vision Insurance that Helps Employers Balance Features and Cost Standard Insurance Company The Standard Life Insurance Company of New York Standard Insurance Company is licensed

More information

Introduction. OPM negotiates benefits and rates with each carrier annually. Rates are shown at the end of this brochure.

Introduction. OPM negotiates benefits and rates with each carrier annually. Rates are shown at the end of this brochure. Introduction On December 23, 2004, President George W. Bush signed the Federal Employee Dental and Vision Benefits Enhancement Act of 2004 (Public Law 108-496). The Act directed the Office of Personnel

More information

Healthier Smiles, Clearer Vision

Healthier Smiles, Clearer Vision Healthier Smiles, Clearer Vision Horizon Dental and Horizon Vision Plans for Individuals and Families HorizonBlue.com Since 1932, Horizon Blue Cross Blue Shield of New Jersey has been providing protection

More information

You should see what you re missing. Comprehensive Vision Care Program

You should see what you re missing. Comprehensive Vision Care Program You should see what you re missing. Comprehensive Vision Care Program The Benefits of Vision Care are Clear. Look at what OptumHealth Vision has to offer Your vision is important to your overall health.

More information

The EyeMed Network. EyeMed Vision Care Attn: OON Claims P.O. Box 8504 Mason, Oh 45040-7111

The EyeMed Network. EyeMed Vision Care Attn: OON Claims P.O. Box 8504 Mason, Oh 45040-7111 The following is a summary of the vision benefits for Unity Health System. This document is not the Summary Plan Description document Plan Information Unity Health System has selected EyeMed Vision Care

More information

2015 Insurance Benefits Guide. Vision Care. Vision Care. www.eip.sc.gov S.C. Public Employee Benefit Authority 105

2015 Insurance Benefits Guide. Vision Care. Vision Care. www.eip.sc.gov S.C. Public Employee Benefit Authority 105 2015 Insurance Benefits Guide www.eip.sc.gov S.C. Public Employee Benefit Authority 105 Insurance Benefits Guide 2015 Table of Contents Introduction...107 State Vision Plan...107 Vision Benefits at a Glance...

More information

SCHEDULE OF BENEFITS. Group Access Care Comprehensive Health Insurance Policy

SCHEDULE OF BENEFITS. Group Access Care Comprehensive Health Insurance Policy SCHEDULE OF BENEFITS Classes of Employees Insured: [Class 1 All Active Full-Time Indian Employees] [Monthly Premium Rates: Individual - [$ 398.34] Two-Person [$796.68] Family Coverage [$1,210.66]] Benefit

More information

Benefit Year 2016 Voluntary Vision Benefit Summary

Benefit Year 2016 Voluntary Vision Benefit Summary Benefit Year 2016 Voluntary Vision Benefit Summary Customer Service: 800-638-3120 Provider Locator: 800-839-3242 www.myuhcvision.com UnitedHealthcare Vision has been trusted for more than 40 years to deliver

More information

Dental and Vision Plan Information for OSU/A&M System Employees

Dental and Vision Plan Information for OSU/A&M System Employees Employee Benefit Options Guide Plan Year 2016 January 1 through December 31, 2016 Dental and Vision Plan Information for OSU/A&M System Employees www.sib.ok.gov Oklahoma State University/A&M System Monthly

More information

FEP BlueVision http://www.fepblue.org

FEP BlueVision http://www.fepblue.org FEP BlueVision http://www.fepblue.org 2015 A Nationwide Vision PPO Plan Who may enroll in this plan: All Federal employees and annuitants in the United States and overseas who are eligible to enroll in

More information

Superior Vision. The Visible Difference in Managed Vision Care. University of Texas. Plan Year 2012 2013

Superior Vision. The Visible Difference in Managed Vision Care. University of Texas. Plan Year 2012 2013 Superior Vision The Visible Difference in Managed Vision Care University of Texas Plan Year 2012 2013 Two Options for 2012: Basic Plan or Plus Plan University of Texas Vision Plan Your vision plan includes

More information

US Airways Medicare Options US Trust 2015 Benefits Guide

US Airways Medicare Options US Trust 2015 Benefits Guide US Airways Medicare Options US Trust 2015 Benefits Guide Welcome to the 2015 Medicare Options US Trust Retiree Benefit Plans This guide includes detailed information regarding the benefit options available

More information

SCHEDULE OF BENEFITS. Group Access Care Comprehensive Health Insurance Policy

SCHEDULE OF BENEFITS. Group Access Care Comprehensive Health Insurance Policy SCHEDULE OF BENEFITS Classes of Employees Insured: [Class 1 All Active Full-Time Indian Employees] [Monthly Premium Rates: Individual - [$ 398.34] Two-Person [$796.68] Family Coverage [$1,210.66]] Benefit

More information

SCHEDULE OF BENEFITS (continued) Group LINK Comprehensive Health Insurance Policy

SCHEDULE OF BENEFITS (continued) Group LINK Comprehensive Health Insurance Policy SCHEDULE OF BENEFITS Classes of Employees Insured: [Class 1 All Active Full-Time Indian Employees] [Monthly Premium Rates: Individual - [$ 398.34] Two-Person [$796.68 ] Family Coverage [$1,210.66]] Benefit

More information

SCHEDULE OF BENEFITS. Group LINK Comprehensive Health Insurance Policy

SCHEDULE OF BENEFITS. Group LINK Comprehensive Health Insurance Policy SCHEDULE OF BENEFITS Classes of Employees Insured: [Class 1 All Active Full-Time Indian Employees] [Monthly Premium Rates: Individual - [$ 398.34] Two-Person [$796.68] Family Coverage [$1,210.66]] Benefit

More information

Premium Chart for Aetna Term Life Insurance

Premium Chart for Aetna Term Life Insurance Premium Chart for Aetna Term Life Insurance Physician Premiums PLEASE NOTE 1) Your premium amount is the number located in the table cell where your age and desired coverage intersect. Up to $200,000 in

More information

Ministry of Community and Social Services Vision Care Fee Schedule

Ministry of Community and Social Services Vision Care Fee Schedule Intent Ministry of Community and Social Services Vision Care Fee Schedule The Ontario Disability Support Program (ODSP) Vision Care Benefit provides assistance to eligible individuals with the purchase

More information

ADN Administrators, Inc. PO Box 610 Southfield, MI 48037 248-901-3705 Utica Community Schools Dental Benefits Plan Group # 9210 Teachers with other dental coverage (COB) The Plan-at-a-Glance Maximum Benefits

More information

Benefits+ Dental Hospital/Surgery AD&D Vision Option

Benefits+ Dental Hospital/Surgery AD&D Vision Option Benefits+ Dental Hospital/Surgery AD&D Vision Option Special Enrollment 2015 Special Enrollment period, October 6 - October 31, 2014 Coverage effective January 1, 2015 Designed Exclusively for Active Employees

More information

Ultimate Full PPO for Small Business 0 Benefit Summary (For groups 1 to 50) (Uniform Health Plan Benefits and Coverage Matrix)

Ultimate Full PPO for Small Business 0 Benefit Summary (For groups 1 to 50) (Uniform Health Plan Benefits and Coverage Matrix) Ultimate Full PPO for Small Business 0 Benefit Summary (For groups 1 to 50) (Uniform Health Plan Benefits and Coverage Matrix) Blue Shield of California Effective January 1, 2014 THIS MATRIX IS INTENDED

More information

Humana Vision VCP Network

Humana Vision VCP Network Generic Humana Vision VCP Network Humana.com GN51511HV 1214 Feel good about choosing a Humana vision plan A vision plan is one of the top five most desired benefits, after medical insurance, by employees

More information

Vision Examinations & Optical Hardware Coverage & Billing Guidelines

Vision Examinations & Optical Hardware Coverage & Billing Guidelines Vision Examinations & Optical Hardware Coverage & Billing Guidelines Contents General Policy... 2 Indications and Limits of Coverage... 2 Vision Examinations... 2 Diagnostic Testing... 2 Eyeglasses...

More information

June 2014 State of New York Department of Civil Service Employee Benefits Division www.cs.ny.gov

June 2014 State of New York Department of Civil Service Employee Benefits Division www.cs.ny.gov New York State Vision Plan New York State For Employees of the State of New York Vision Plan Represented by the Public Employees Federation (PEF) and for their enrolled dependents and for COBRA enrollees

More information

FORD MOTOR COMPANY FORD MOTOR COMPANY

FORD MOTOR COMPANY FORD MOTOR COMPANY Vision Benefit Plan Certificate of Coverage FORD MOTOR COMPANY Salaried Active Employees Ford Vision Benefit Web Site: www.heritagevisionplans.com/ford FORD MOTOR COMPANY Table of Contents WELCOME TO HERITAGE

More information

VCP Network. HumanaVision

VCP Network. HumanaVision VCP Network HumanaVision Feel good about choosing a HumanaVision plan Thank you for considering a HumanaVision plan. It s important your employees keep their eyes healthy and get routine care. A comprehensive

More information

SCHEDULE OF BENEFITS. Group Access Care Comprehensive Health Insurance Policy

SCHEDULE OF BENEFITS. Group Access Care Comprehensive Health Insurance Policy SCHEDULE OF BENEFITS Classes of Employees Insured: [Class 1 All Active Full-Time Indian Employees] [Monthly Premium Rates: Individual - [$ 398.34] Two-Person [$796.68] Family Coverage [$1,210.66]] Benefit

More information

DeltaVision. DeltaVision. Insured vision plans from Delta Dental of Wisconsin.

DeltaVision. DeltaVision. Insured vision plans from Delta Dental of Wisconsin. DeltaVision DeltaVision Insured vision plans from Delta Dental of Wisconsin. We know what matters to you. Great vision benefits; no joke. Great vision benefits; no joke. Delta Dental asks groups and agents

More information

HM Life Insurance Company 120 Fifth Avenue, Fifth Avenue Place, Pittsburgh, PA 15222 1-800-328-5433

HM Life Insurance Company 120 Fifth Avenue, Fifth Avenue Place, Pittsburgh, PA 15222 1-800-328-5433 HM Life Insurance Company 120 Fifth Avenue, Fifth Avenue Place, Pittsburgh, PA 15222 1-800-328-5433 HM Life Insurance Company certifies that you will be insured under the Policy Number issued to the Policyholder

More information

Rate Card General Agent Administrative Handbook

Rate Card General Agent Administrative Handbook February, 2012. MetLife Rate Card General Agent Administrative Handbook Rate Card Process For Indiana, Ohio and West Virginia 1 Table of Contents MetLife Contacts.3 Products & Plan Designs......4 Underwriting

More information

Blue Student Health SM. Bryn Mawr College. International Program

Blue Student Health SM. Bryn Mawr College. International Program Blue Student Health SM Bryn Mawr College International Program Why choose Blue Student Health? National and international coverage 24/7 nurse helpline Care coordination with your student health center

More information

Your A&M System Vision Plan

Your A&M System Vision Plan Your A&M System Vision Plan Updated September 2015 INTRODUCTION The Texas A&M University System provides vision benefits to help you p ay for vision care and supplies for yourself and your family. Regular

More information

visioncare plan What to expect from your vision plan: No claims to file! Just show your VisionCare Plan ID card

visioncare plan What to expect from your vision plan: No claims to file! Just show your VisionCare Plan ID card visioncare plan What to expect from your vision plan: Your eyesight is nothing to take for granted. It s how we see a loved one s face clearly or a beautiful sunset. But your sight can begin to deteriorate

More information

NATIONAL GUARDIAN LIFE INSURANCE COMPANY (called We, Our, and Us ) 2 East Gilman Street Madison, Wisconsin 53701

NATIONAL GUARDIAN LIFE INSURANCE COMPANY (called We, Our, and Us ) 2 East Gilman Street Madison, Wisconsin 53701 NATIONAL GUARDIAN LIFE INSURANCE COMPANY (called We, Our, and Us ) 2 East Gilman Street Madison, Wisconsin 53701 GROUP VISION CARE INSURANCE CERTIFICATE Underwritten by: Administrator: National Guardian

More information

Health Plan Comparison Chart

Health Plan Comparison Chart Open Enrollment 2014 State Employee Health Plan Health Plan Comparison Chart & other information For Active State Employees 2013 **Cover photo is titled Road into the Field from the Postcards from Kansas

More information

Your CompBenefits Vision Plan. Pensacola State College

Your CompBenefits Vision Plan. Pensacola State College Your CompBenefits Vision Plan Pensacola State College visioncare plan What to expect from your vision plan: Your eyesight is nothing to take for granted. It s how we see a loved one s face clearly or a

More information

Delta Dental of Wisconsin 2015 Open Enrollment Materials. For AFSCME Council 24, Wisconsin State Employees Union

Delta Dental of Wisconsin 2015 Open Enrollment Materials. For AFSCME Council 24, Wisconsin State Employees Union Delta Dental of Wisconsin 2015 Open Enrollment Materials For AFSCME Council 24, It s open enrollment time. Follow the steps to edit your current coverage or enroll in the plan. If you are currently enrolled

More information

The Pennsylvania State University Groups 25263-50, 51 Effective January 1, 2015 Produced February, 2015

The Pennsylvania State University Groups 25263-50, 51 Effective January 1, 2015 Produced February, 2015 The Pennsylvania State University Groups 25263-50, 51 Effective January 1, 2015 Produced February, 2015 Highmark Blue Shield is very pleased to provide this information about your vision care program

More information

2 Medical Health Insurance Plans Dental Plan Option Vision Plan Option

2 Medical Health Insurance Plans Dental Plan Option Vision Plan Option STUDENT OSTEOPATHIC MEDICAL ASSOCIATION 2013-2014 SCHOOL YEAR PLAN SUMMARIES COLLEGE HEALTH INSURANCE PROGRAM 2 Medical Health Insurance Plans Dental Plan Option Vision Plan Option The 2013-2014 complete

More information

Dental and vision coverage for your total health

Dental and vision coverage for your total health Dental and vision coverage for your total health The mouth and eyes are important parts of your body, and your health. Regular dental and vision checkups can help nd early warning signs of disease. So

More information

Visual Acuity, Impairments and Vision Insurance Plan Provisions. Stuart West Specialty Sales Manager Virginia CE Forum 2009 Course # 201718

Visual Acuity, Impairments and Vision Insurance Plan Provisions. Stuart West Specialty Sales Manager Virginia CE Forum 2009 Course # 201718 Visual Acuity, Impairments and Vision Insurance Plan Provisions Stuart West Specialty Sales Manager Virginia CE Forum 2009 Course # 201718 How Vision Works Light passes through the cornea & lens Light

More information

HumanaVision. State of Florida Employees VCP Network. Specialty Benefits

HumanaVision. State of Florida Employees VCP Network. Specialty Benefits HumanaVision State of Florida Employees VCP Network Specialty Benefits 2 HumanaVision We make it easy for you HumanaVision VCP options have you covered and make eye care affordable. Select a plan that

More information

Dental Savings Plus. Keep your smile healthy and enjoy immediate savings on adult and child dental services with your HumanaOne Dental

Dental Savings Plus. Keep your smile healthy and enjoy immediate savings on adult and child dental services with your HumanaOne Dental HumanaOne Dental Savings Plus This dental discount plan delivers immediate discounts on dental care plus other services, such as vision, prescription, hearing and alternative medicine, to help you and

More information

Take control of your total health with the right vision and dental coverage

Take control of your total health with the right vision and dental coverage Take control of your total health with the right vision and dental coverage The mouth and eyes are important parts of your body and your health. Regular dental and vision checkups can help find early warning

More information

Coventry Health Care of Missouri

Coventry Health Care of Missouri Small Group PPO Schedule of Benefits: Coventry Health Care of Missouri Plan ID#: Platinum Carelink from Coventry A000-14 (# ) This Schedule of Benefits summarizes Your obligation towards the cost of certain

More information

Dental, vision, and life insurance plans. a complete plan is a better plan. find a plan that fits you. Individual and Family Plans

Dental, vision, and life insurance plans. a complete plan is a better plan. find a plan that fits you. Individual and Family Plans Effective: January 1, 2016 Individual and Family Plans Dental, vision, and life insurance plans find a plan that fits you a complete plan is a better plan Blue Shield offers more than just medical coverage.

More information

OUTLINE OF COVERAGE. BASIC PROVISIONS Blue Choice Gold PPO 001. MAJOR MEDICAL EXPENSE COVERAGE Blue Choice Gold PPO 001 Blue Choice PPO Network

OUTLINE OF COVERAGE. BASIC PROVISIONS Blue Choice Gold PPO 001. MAJOR MEDICAL EXPENSE COVERAGE Blue Choice Gold PPO 001 Blue Choice PPO Network OUTLINE OF COVERAGE 1. READ YOUR POLICY CAREFULLY. This outline of coverage provides a brief description of the important features of your Policy. This is not the insurance contract, and only the actual

More information

Statewide Vision Program EyeMed Vision Care Plan - Frequently Asked Questions

Statewide Vision Program EyeMed Vision Care Plan - Frequently Asked Questions Statewide Vision Program EyeMed Vision Care Plan - Frequently Asked Questions Q. Who is eligible to enroll? A. Active State of Delaware employees, pensioners, Long Term Disability (LTD) recipients, and

More information

Welcome. to the University of Wisconsin-Madison

Welcome. to the University of Wisconsin-Madison Welcome to the University of Wisconsin-Madison New Employee Benefits Summary 2016 For employees covered by the Wisconsin Retirement System (WRS) with appointment start dates between December 2, 2015 -

More information

OUTLINE OF COVERAGE HEALTH NET LIFE INSURANCE COMPANY INDIVIDUAL MEDICARE SUPPLEMENT OPTIONAL SUPPLEMENTAL BENEFITS GUIDE

OUTLINE OF COVERAGE HEALTH NET LIFE INSURANCE COMPANY INDIVIDUAL MEDICARE SUPPLEMENT OPTIONAL SUPPLEMENTAL BENEFITS GUIDE OUTLINE OF COVERAGE HEALTH NET LIFE INSURANCE COMPANY INDIVIDUAL MEDICARE SUPPLEMENT OPTIONAL SUPPLEMENTAL BENEFITS GUIDE Health Net Life Insurance Company Individual Medicare Supplement plans provides

More information

Believe your eyes. Employee Guide. Discount Vision GROUP BENEFITS. The discount vision program is NOT insurance.

Believe your eyes. Employee Guide. Discount Vision GROUP BENEFITS. The discount vision program is NOT insurance. Discount Vision Believe your eyes The discount vision program is NOT insurance. Insurance products marketed by: The Lincoln National Life Insurance Company Lincoln Life & Annuity Company of New York VIS-DISC-SJM001

More information

Vision Benefits Enrollment Information

Vision Benefits Enrollment Information Vision Benefits Enrollment Information Select Plus 100 Plan & Select Plus 150 Plan St. Petersburg College Select Plus 100 Plan COVERAGE IN-NETWORK BENEITS OUT-O-NETWORK REIBURSEENT* BENEIT REQUENCY Comprehensive

More information

GEHA 2014. A complete guide to GEHA Health Plans. (800) 262-GEHA geha.com The Benefits of Better Health

GEHA 2014. A complete guide to GEHA Health Plans. (800) 262-GEHA geha.com The Benefits of Better Health GEHA 2014 A complete guide to GEHA Health Plans (800) 262-GEHA geha.com The Benefits of Better Health Your choice of three health plans, with more doctors and hospitals and member cost savings for: doctor

More information

Quality. Vision Care. for Groups Big and Small. Plus & Materials Only Plans GROUPS 2+

Quality. Vision Care. for Groups Big and Small. Plus & Materials Only Plans GROUPS 2+ Vision Care Quality for Groups Big and Small Plus & Materials Only Plans GROUPS 2+ Offer your group clients a fully insured vision plan that provides one of the greatest values in the vision care industry.

More information

Medicare Options For Retiree/Direct Bill Members

Medicare Options For Retiree/Direct Bill Members Open Enrollment 2014 State Employee Health Plan Medicare Options For Retiree/Direct Bill Members Comparison Chart 2 2013 **Cover photo is titled Road into the Field from the Postcards from Kansas collection

More information

Consumer s Right to Know About Health Plans in Rhode Island

Consumer s Right to Know About Health Plans in Rhode Island Consumer s Right to Know bout Health Plans in Rhode Island etna Life Insurance Company January 1, 2012 Consumer Disclosure Single Service Plan Edition Safe and Healthy Lives In Safe and Healthy Communities

More information

Shell Expatriate Benefits Annual Enrollment 2007. Compensation, Benefits & Policy

Shell Expatriate Benefits Annual Enrollment 2007. Compensation, Benefits & Policy Shell Expatriate Benefits Annual Enrollment 2007 Agenda Annual Enrollment Health care benefits Other Benefits Resources Annual Enrollment Process: No action required if you have no changes Paperless Process

More information

Summary of Benefits 2015

Summary of Benefits 2015 Summary of Benefits 2015 Total Rewards at Idaho Power! At Idaho Power, we strive to provide a total rewards package that is balanced, competitive and sustainable. Our goal is to attract and retain high-quality

More information

Optima Health Individual & Family Plans

Optima Health Individual & Family Plans Optima Health Individual & Family Plans Optima Health is a Qualified Health Plan in the Health Insurance Marketplace. Wellness and Preventive Programs Staying healthy can help you save money, and Optima

More information

GEHA 2015. A complete guide to GEHA Health Plans. (800) 262-GEHA geha.com The Benefits of Better Health

GEHA 2015. A complete guide to GEHA Health Plans. (800) 262-GEHA geha.com The Benefits of Better Health GEHA 2015 A complete guide to GEHA Health Plans (800) 262-GEHA geha.com The Benefits of Better Health Your choice of three health plans, with more doctors and hospitals and member cost savings for: Doctor

More information

Your eyesight is nothing to take for granted. It s how we see a loved one s face clearly or a beautiful sunset.

Your eyesight is nothing to take for granted. It s how we see a loved one s face clearly or a beautiful sunset. visioncare plan What to expect from your vision plan: Your eyesight is nothing to take for granted. It s how we see a loved one s face clearly or a beautiful sunset. But your sight can begin to deteriorate

More information

New Hire 2015 Benefits Enrollment. educational service center. Council of Governments COG

New Hire 2015 Benefits Enrollment. educational service center. Council of Governments COG New Hire 2015 Benefits Enrollment COG educational service center Council of Governments Information Page Welcome to the Ohio Healthcare Plan. The benefits program is an important part of the total compensation

More information

Anthem BCBS PPO 80/60. Network Out-of-Network Network Out-of-Network Network Out-of-Network $1,750 per person. $2,500 per person $5,000 per family

Anthem BCBS PPO 80/60. Network Out-of-Network Network Out-of-Network Network Out-of-Network $1,750 per person. $2,500 per person $5,000 per family Plan PPO 90/70 PPO 80/60 PPO 75/50 Annual Medical Deductible Network Out-of-Network Network Out-of-Network Network Out-of-Network $250 per person $500 per person $500 per person $1,000 per person $900

More information

Individual Dental Insurance

Individual Dental Insurance Individual Dental Insurance From Delta Dental of Wisconsin Be your own individual with dental plans from the most trusted name in dental benefits. Plan designs and rates subject to change without notice.

More information

UNITED HEALTHCARE INSURANCE COMPANY CERTIFICATE OF COVERAGE FOR

UNITED HEALTHCARE INSURANCE COMPANY CERTIFICATE OF COVERAGE FOR UNITED HEALTHCARE INSURANCE COMPANY GROUP VISION CARE INSURANCE CERTIFICATE OF COVERAGE FOR ALLIANCE OF PROFESSIONALS & CONSULTANTS, INC. GROUP NUMBER - 711183 Effective Date: January 1, 2010 Offered and

More information

Individual and Family Plans

Individual and Family Plans Effective: January 1, 2015 Individual and Family Plans find a plan that fits you live by your own plan a plan for your life Everyone s needs are unique, and it s important to find a plan that best fits

More information

Coventry Health & Life Insurance Company Small Group PPO Schedule of Benefits:

Coventry Health & Life Insurance Company Small Group PPO Schedule of Benefits: Coventry Health & Life Insurance Company Small Group PPO Schedule of Benefits: Plan ID#: Silver Traditional 3000 90-14 (# ) This Schedule of Benefits summarizes Your obligation towards the cost of certain

More information

HumanaVision. VCP Network. 2016 Vision Benefits

HumanaVision. VCP Network. 2016 Vision Benefits HumanaVision VCP Network 2016 Vision Benefits visioncare plan What to expect from your vision plan: Your eyesight is nothing to take for granted. It s how we see a loved one s face clearly or a beautiful

More information

Benefit Packet Full Time Employees Open Enrollment Options

Benefit Packet Full Time Employees Open Enrollment Options Benefit Packet Full Time Employees Open Enrollment Options Included in this packet: 1. Healthcare Plan Design Comparison a. Preferred providers for in-network can be found at www.umr.com, UHC Choice Plus

More information

NATIONAL GUARDIAN LIFE INSURANCE COMPANY (called We, Our, and Us ) 2 East Gilman Street Madison, Wisconsin 53701

NATIONAL GUARDIAN LIFE INSURANCE COMPANY (called We, Our, and Us ) 2 East Gilman Street Madison, Wisconsin 53701 NATIONAL GUARDIAN LIFE INSURANCE COMPANY (called We, Our, and Us ) 2 East Gilman Street Madison, Wisconsin 53701 GROUP VISION CARE INSURANCE CERTIFICATE Underwritten by: National Guardian Life Insurance

More information

UNITED HEALTHCARE INSURANCE COMPANY CERTIFICATE OF COVERAGE FOR

UNITED HEALTHCARE INSURANCE COMPANY CERTIFICATE OF COVERAGE FOR UNITED HEALTHCARE INSURANCE COMPANY GROUP VISION CARE INSURANCE CERTIFICATE OF COVERAGE FOR OHIO POLICE & FIRE PENSION FUND GROUP NUMBER - 711878 Effective Date: January 1, 2008 Offered and Underwritten

More information

NATIONAL GUARDIAN LIFE INSURANCE COMPANY (called We, Our, and Us ) 2 East Gilman Street Madison, Wisconsin 53701

NATIONAL GUARDIAN LIFE INSURANCE COMPANY (called We, Our, and Us ) 2 East Gilman Street Madison, Wisconsin 53701 NATIONAL GUARDIAN LIFE INSURANCE COMPANY (called We, Our, and Us ) 2 East Gilman Street Madison, Wisconsin 53701 GROUP VISION CARE INSURANCE CERTIFICATE Underwritten by: Administrator: National Guardian

More information

Table of Contents. Pre-Tax Benefits. Humana Dental Plan...3. Superior Vision Plan... 6. Aflac Plans...9. Post-Tax Benefits

Table of Contents. Pre-Tax Benefits. Humana Dental Plan...3. Superior Vision Plan... 6. Aflac Plans...9. Post-Tax Benefits Table of Contents Pre-Tax Benefits Humana Dental Plan.............................3 Superior Vision Plan.............................. 6 Aflac Plans......................................9 Post-Tax Benefits

More information

YOU DECIDE. Annual Enrollment October 19 November 6, 2015

YOU DECIDE. Annual Enrollment October 19 November 6, 2015 YOU DECIDE 2016 Annual Enrollment October 19 vember 6, 2015 TABLE OF CONTENTS TABLE OF CONTENTS Welcome 33 General Eligibility and Enrollment Information 4 Eligibility Enrollment and and Enrollment Eligibility

More information

Any Town, US 12345-6789

Any Town, US 12345-6789 P.O. Box 619616, MD 5675 DFW Airport, TX 75261-9616 AME292-M John Sample 123 Any Street 123 Any Street Any Town, US 12345-6789 1234567890123456 PRESORTED STANDARD U.S. POSTAGE PAID Hamburg, NY PERMIT NO.

More information