Individual Dental With Vision Rider Option Plan Options

Individual Dental With Vision Rider Option

Plan Options • EVERY BUDGET & BENEFIT NEED • • • 8 fully insured dental plan options Optional vision rider* Value added benefits at no additional cost to Members No maximum issue age No additional fees for consumer *Not available with all plans

Plan Options • Fee Schedule plans • Value • Standard • Preferred • PPO plans • Ultimate Max Plan • Increasing Max Plan • Preventive Basic Plan • Cleaning plus Vision • Qualified Dental Plan • All-Star Dental

Plan Options – Fee Schedule & PPO *Deductible does not apply toward preventive services

Covered Procedures Preventive Services Other Services • Routine Exams Basic: • Prophylaxis • Fillings • X-rays • Simple Extractions • Children Services: Major: • Fluoride Treatment • Emergency Treatment • Sealants • Crowns, Dentures, Bridges • Space Maintainers • Endodontics and Periodontics • Oral Cancer Screening (40+) • Endosteal Implants (PPO Plans Only) • Inlays and Onlays • Oral Surgery

Plan Options – Qualified Dental Plan Available off-exchange - Qualified Dental plans with Pediatric Essential Health Benefits (EHB) designed for families with children 18 and under. 3 Coverage Tiers Available: • Child Only • Individual + Children • Individual + Family

Vision Rider Option • Fully insured vision plan • Available for Fee Schedule and PPO Plans • Services every 12 months • May use different providers for exams and material purchases

Dental Network • 270, 000+ Access Points • Out of Network Benefits • Fee Schedule Plans – Choose any dentist • PPO & QDP Plans - Out-of-network benefits paid at in-network provider discounted rate

Vision Network • Proprietary Network • Over 28, 000 access points • Independent & 39 of top 50 large regional/national retail providers including but not limited to: • • • Walmart Sears Optical Jc. Penney Optical Sam’s Club Eye Care Centers of America Texas State Optical Target America’s Best Costco

Value Added Benefits No additional cost to Members • Optical Discounts (if vision is elected) • Hearing Savings Plan • Prescription discount card *Not an insured benefit and subject to change.

State Approval PPO Plans QDP Plans Fee Schedule Plans

What makes these plans different? • No additional fees • No maximum age • More plan options with fully insured vision rider • More preventive services • No waiting periods for basic services • No network restrictions • Value-added services available at no additional cost to members

What makes this carrier different? • Technology • Consumer friendly website with full back-end automation • Instant policy issuance • Designed for agents providing custom agent links that may be co-branded on the site • Customer Service • • Live representative available Monday – Saturday with expanded hours Overall 97% customer satisfaction (2015 survey) One point of contact for both dental & vision benefits 24/7 member services portal with robust mobile app functionality