Dental and Vision Insurance.

Progressive Plan

• Increasing max benefits through first 3 years enrollment
• Year 1: $1,500, Year 2: $1,750, Year 3: $2,000
• $50 per person deductible
• No waiting periods
• Plan pays 100% for Preventive
• Must receive care from:
  Delta Dental PPO
• *Requires annual contract
• Non-Pediatric ACA Compliant

Plan Dentists (Approx 90% Particpate)

Approx $69.75/month
Individual

Premium Plan

• $2,000 maximum per person
• $100 per person deductible
• Waiting periods may apply
• Plan pays 100% for Preventive
• 80% for Fillings
• 50% for Major
• Must receive care from:
  PPO Plus Premier
• *Requires annual contract
• Non-Pediatric ACA Compliant

Plan Dentists

Approx $90.50/month
Individual

Enhanced Plan

• $1,000 maximum per person
• $50 per person deductible
• Waiting periods on some services
• Plan pays 100% for Preventive
• 50% for Fillings
• 50% for Major
• Must receive care from:
  PPO Plus Premier
• *Requires annual contract
• Non-Pediatric ACA Compliant

Plan Dentists

Approx $57.25/month
Individual

Clear Plan

• No annual maximums
• No annual deductibles
• No waiting periods
• You pay fixed dollar amounts for services
• $60 copay for Cleanings
• $90 for Fillings
• $2,500 for Implants
• Must receive care from:
  PPO Plus Premier
• *Requires annual contract
• Non-Pediatric ACA Compliant

Plan Dentists

18-25 yrs old: $38.75/mo
26-50 yrs old: $43.75/mo
51+ yrs: $62/mo

Basic Plan

• $1,000 maximum per person
• $0 deductible
• Waiting periods on some services
• Plan covers 50% - 100% for Preventive
• 50% for Basic
• Doesn't cover Major
• Must receive care from:
  PPO Plus Premier
• *Requires annual contract
• Non-Pediatric ACA Compliant

Plan Dentists

Approx $32.50/month
Individual

DeltaVision Brilliance 200 Plan

• $0 per Exam every 12 months
• $200 allowance for Frames every 12 months
• $200 allowance for Contact Lenses in lieu of Frames
• ($110 at Costco)
• No Waiting Periods
• VSP Choice Network
• *Requires annual contract
• *Offered only in conjunction with a Delta Dental plan*

VSP Network Doctors

An Additional
$15.56/month
Individual

DeltaVision Essential 150 Plan

• $10 per Exam every 12 months
• $150 allowance for Frames every 12 months
• $150 allowance for Contact Lenses in lieu of Frames
• ($80 at Costco)
• No Waiting Periods
• VSP Choice Network
• *Requires annual contract
• *Offered only in conjunction with a Delta Dental plan*

VSP Network Doctors

An Additional
$8.28/month
Individual

Standard

• $15 Copay for 1 eye exam/year
• $150 or $230 Frames or Contacts Allowance (see custom benefit)
• Additional Lens Options Available for extra fee

$12.94 per month
$155.28 per year

EasyOptions

• $15 Copay for 1 eye exam/year
• $150 Frames or Contacts Allowance
• Additional Lens Options Available for extra fee
• + $1.50/mo HVA Membership

$26.01 per month
$312.12 per year

EyeWearOnly120

• Exam not covered
• $120 Frames or Contacts Allowance
• Additional Lens Options Available for extra fee
• + $1.50/mo HVA Membership

$10.12 per month
$121.44 per year

New Every 2

• $15 Copay for 1 eye exam/year
• $150 Frames Allowance every other year
• Does not Cover Contact Lenses
• + $1.50/mo HVA Membership

$10.48 per month
$251.52 per year