Dental & Vision
As of October 1, 2019, our Dental Insurance will be with EMI Health
EMI Health (EMI)
Once you have been enrolled in your benefits, go to emihealth.com and enter your information to create your personal login.
Deductible/Out-of-PocketAll deductible and benefit limits follow the plan year, meaning coverage limits reset as of October 1st each year (NOT January 1st).
Coverage Highlights for IN-NETWORK providers
Deductible
Basic and Major Services: $50 per person / $150 family max
Preventative: 100% (e.g. Semi-annual cleanings)
Basic Care: 80% (e.g. Cavities filled)
Major Care: 50% (e.g. Root canal, wisdom teeth removal, etc.)
Orthodontics: 50%
Maximum Plan Limit
Non-Orthodontics: $1,500 per person per Plan Year
Ortho Lifetime Limit: $1,000 per person (All members)
** Out-of-Network Providers **
Please note: If you use chose an out-of-network provider, you may be balanced billed for any charges over the maximum allowable charge. There is no contract between the provider and the carrier to dictate how much a provider can charge you. Therefore, do your best to stay in-network.
Deductible & Plan Limits
Plan coverage and limits reset each year as of October 1st (NOT January 1st)
- Preventive care is covered twice each plan year; six months are required between each cleaning.
Your Monthly Cost
Employee |
$19.75 | ||
Employee + Spouse | $39.50 | ||
Employee + Children |
$40.35 | ||
Employee + Family | $69.20 |
Vision
Coverage Highlights
Annual Comprehensive Exam: $10 co-pay
Material Cost: $10 co-pay
- Frequency: 12 months
- Contact Lenses OR Glass Lenses and/or Frames
- Contacts
- Up to 6 boxes/$130 allowance per year*
- Frequency: 12 months*
- Glasses
- Standard Lenses Only: Covered in full (after $10 co-pay)
- Frames: $130 retail allowance
- Costco, Sam's Club and Walmart Frame Allowance: $70
- Frequency: 12 months*
*The benefit covers either contact lenses OR glasses (glass lenses and/or frames) every 12 months
** Out-of-Network Providers **
Please note: If you use chose an out-of-network provider, you may be balanced billed for any charges over the maximum allowable charge. There is no contract between the provider and the carrier to dictate how much a provider can charge you. Therefore, do your best to stay in-network.
Coverage | Your Monthly Cost |
Employee | $3.00 | |||||||
Employee + Spouse | $6.60 | |||||||
Employee + Children | $7.00 | |||||||
Employee + Family | $10.15 |