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Welcome to
Insurance Coordinator
Option Period Training
2020
This publication is issued by the Office of Management and Enterprise Services as authorized by Title 62,
Section 34. Copies have not been printed but are available through the agency website. This work is
licensed under a Creative Attribution‐NonCommercial‐NoDerivs 3.0 Unported License.
4036
Agenda
• Option Period materials.
• Important dates.
• Option Period information.
• 2020 plan changes.
• Life, health, dental and vision plans.
• Helpful hints.
Option Period Material
1
Option Period Material
*OP 2020*
Employe e s Group Insura nce Division
2020 OPTION P ERIOD ENROLLMENT/CHANGE FORM
CURRENT EMP LOYEES
THIS FORM MUS T BE RETURNED TO YOUR INSURANCE COORDINATOR
S ECTION A: EMP LOYEE INFORMATION SECTION B: Th e co verag e be low reflects yo ur m o s t
cu rren t b en efits in ou r s ys tem .
He a lth Aetna HMO (e nding 12/31/18)
De nta l S un Life P re fe rred Active PP O
ARTHUR WEASLEY Vision P rim a ry Vis ion Ca re S e rvice s
Life $500,000
THE BURRO W
Disa bility
OTTERY S T CATCHP OLE FL 99999-9999
HEA DEN VIS LIFE
MO LLY P REWETT 10/30/1949 X X X $20,000
CHARLES 12/12/1972 X X X $10,000
FRED 4/1/1978 X X X $10,000
G EORGE 4/1/1978 X X X $10,000
Entity: MINIS TRY OF MAGIC MIS US E OF MUGGLE ARTIFACTS G INEVRA MOLLY 8/11/1981 X X X $10,000
Me mbe r ID: 09999999 P ERCY IGNATIUS 8/22/1976 X X X $10,000
Birth Da te : 2/6/1950 RO NALD BILIUS 3/1/1980 X X X $10,000
Phone : 9999999999 WILLIAM ARTHUR 11/29/1970 X X X $10,000
Alt Phone : HARRY J AMES 7/31/1980 X X X $10,000
Ma rita l S ta tus : MARRIED HE RMIONE J E AN GRANGER 9/19/1979 X X X $10,000
S ECTIO N C: ALL CHANGES ARE EFFECTIVE J AN. 1, 2020
S ee b a ck o f fo rm fo r req u ired s ig n atu re s an d c h an g es to d ep en d en t co ve ra ge .
Hea lth P lan
BlueLincs HMO
Ch e c k a box to ADD o r Employee primary phys ician (HMO Only)
CHANGE pla n s : CommunityCare HMO
GlobalHe alth HMO Ne w pa tie nt Curre nt pa tie nt
No change
Hea lthChoice Bas ic* or Bas ic Alternative (re fer to Option P e riod materials )
Drop all health Hea lthChoice High* or High Alterna tive (re fe r to Option P eriod materials )
*Req u ires c o m p le tion o f o n line To b a c c o-Fre e Atte s ta tion o r rea s o n a ble a lte rn a tive .
Hea lthChoice High Deductible Hea lth P lan
Den ta l P lan Cigna De ntal Care P lan (P repa id)
Che c k a b ox to ADD or Delta De ntal P P O
CHANGE p la ns : Delta De ntal P P O-Choice
No change Hea lthChoice Dental P lan Employe e prima ry de ntis t
Drop all de ntal Me tLife High Clas s ic MAC (prepaid only)
Me tLife Low Cla s s ic MAC
Ne w pa tie nt Curre nt pa tie nt
S un Life P re ferre d Active P P O
Vis io n P lan
Che c k a b ox to ADD or P rima ry Vis ion Ca re S ervice s (P VCS )
CHANGE p la ns : S uperior Vis ion
No change Vis ion Care Dire ct
Drop all vis ion VS P (Vis ion S ervice P la n)
Em p lo ye e Life P lan Dep en d en t Life P la n (Em p lo ye e Life Req u ired )
Employe e life CANNOT be adde d or incre as e d us ing this form. No change
A s e parate Life Ins urance Application mus t be completed a nd Drop de pendent life
a pproved to add or increas e life ins urance cove rage. Add or incre as e to premier option
Add or incre as e /decre as e to s ta nda rd option
No cha nge
Add or decreas e to low option
Drop a ll life ins ura nce
Decreas e total life ins ura nce to: $
(Keep e mployee life in $20,000 units )
I h ave ad d ed o r m ad e c han ge s o n th e b ac k o f th is
form fo r my d ep en d en ts .
A1 *09999999*
Option Period Material
EGID Life Premium Chart for Current Employees
Jan. 1 through Dec. 31, 2020
The coverage levels and monthly premiums listed below include Basic Life.
Amount/Age* > 30 30 - 34 35 - 39 40 - 44 45 - 49 50 - 54 55 - 59 60 - 64 65 - 69 70 - 74 75 +
Basic $ 20,000** 4.20 4.20 4.20 4.20 4.20 4.20 4.20 4.20 4.20 4.20 4.20
$ 40,000 8.40 8.40 8.40 8.40 8.40 8.40 8.40 8.40 8.40 8.40 8.40
$ 60,000 9.60 9.60 9.60 10.00 11.20 13.60 16.40 17.60 23.20 34.00 47.60
$ 80,000 10.80 10.80 10.80 11.60 14.00 18.80 24.40 26.80 38.00 59.60 86.80
$ 100,000 12.00 12.00 12.00 13.20 16.80 24.00 32.40 36.00 52.80 85.20 126.00
$ 120,000 13.20 13.20 13.20 14.80 19.60 29.20 40.40 45.20 67.60 110.80 165.20
$ 140,000 14.40 14.40 14.40 16.40 22.40 34.40 48.40 54.40 82.40 136.40 204.40
$ 160,000 15.60 15.60 15.60 18.00 25.20 39.60 56.40 63.60 97.20 162.00 243.60
$ 180,000 16.80 16.80 16.80 19.60 28.00 44.80 64.40 72.80 112.00 187.60 282.80
$ 200,000 18.00 18.00 18.00 21.20 30.80 50.00 72.40 82.00 126.80 213.20 322.00
$ 220,000 19.20 19.20 19.20 22.80 33.60 55.20 80.40 91.20 141.60 238.80 361.20
$ 240,000 20.40 20.40 20.40 24.40 36.40 60.40 88.40 100.40 156.40 264.40 400.40
$ 260,000 21.60 21.60 21.60 26.00 39.20 65.60 96.40 109.60 171.20 290.00 439.60
$ 280,000 22.80 22.80 22.80 27.60 42.00 70.80 104.40 118.80 186.00 315.60 478.80
$ 300,000 24.00 24.00 24.00 29.20 44.80 76.00 112.40 128.00 200.80 341.20 518.00
$ 320,000 25.20 25.20 25.20 30.80 47.60 81.20 120.40 137.20 215.60 366.80 557.20
$ 340,000 26.40 26.40 26.40 32.40 50.40 86.40 128.40 146.40 230.40 392.40 596.40
$ 360,000 27.60 27.60 27.60 34.00 53.20 91.60 136.40 155.60 245.20 418.00 635.60
$ 380,000 28.80 28.80 28.80 35.60 56.00 96.80 144.40 164.80 260.00 443.60 674.80
$ 400,000 30.00 30.00 30.00 37.20 58.80 102.00 152.40 174.00 274.80 469.20 714.00
$ 420,000 31.20 31.20 31.20 38.80 61.60 107.20 160.40 183.20 289.60 494.80 753.20
$ 440,000 32.40 32.40 32.40 40.40 64.40 112.40 168.40 192.40 304.40 520.40 792.40
$ 460,000 33.60 33.60 33.60 42.00 67.20 117.60 176.40 201.60 319.20 546.00 831.60
$ 480,000 34.80 34.80 34.80 43.60 70.00 122.80 184.40 210.80 334.00 571.60 870.80
$ 500,000 36.00 36.00 36.00 45.20 72.80 128.00 192.40 220.00 348.80 597.20 910.00
$ 520,000 37.20 37.20 37.20 46.80 75.60 133.20 200.40 229.20 363.60 622.80 949.20
*Chart based on member's age as of Jan. 1, 2020.
**Basic Life must be purchased before Supplemental Life coverage is available.
This publication was printed by the Office of Management and Enterprise Services as authorized by Title 62, Section 34. 500 copies have been printed at a cost of $2.30. A copy has been submitted to
Documents.OK.gov in accordance with the Oklahoma State Government Open Documents Initiative (62 O.S. 2012, § 34.11.3). This work is licensed under a Creative Attribution‐NonCommercial‐NoDerivs 3.0
Unported License.
4027
Option Period Material
e
Annual Option Period
During the annual Option Period, you
may change or enroll in:
Health coverage.
Dental coverage.
Vision coverage.
Life insurance coverage.
(A life insurance application is required.)
Please contact your insurance coordinator for
procedures, deadlines and forms.
Your IC is:
Phone number:
Complete forms and
return to the IC by:
PRESENTATION DATES ENROLLMENT DATES
This publication was printed by the Offic of M
a nageme nt and En t er pr ise Se r vi ces as aut hor ized by Title 62, Section 34. 1,000 copies have been printed
at a cost of $39.60. A copy has been submitted to Documents.OK.gov in accordance with the Oklahoma State Government Open Documents Initiative (62
O.S. 2012, § 34.11.3). This work is licensed under a Creative Attribution-NonCommercial-NoDerivs 3.0 Unported License.
4017
2
Important Dates
Start Stop
Web enrollment Sept. 19 Nov. 8
Life insurance applications Sept. 19 Oct. 31
Paper forms — Oct. 31
Employee meetings Sept. 27 Oct. 31
Option Period
Information
OMES Website
• Find us on our website – it’s easy.
• Go to omes.ok.gov.
• Select Services from the top menu.
• Select Employees Group Insurance Division.
3
IC Responsibilities
• Set your Option Period deadline.
• Schedule employee Option Period meetings.
• Know the benefits available to your employees.
• Communicate Option Period deadlines with your
employees.
• Send the Summary of Benefits and coverage
notification.
• Generate pre‐bill for 2020.
Option Period Reminders
• This is the time when eligible employees can
enroll, add or drop family members, and
change or drop coverage.
• Employees receive Option Period
Enrollment/Change Forms.
• If no changes are made, EGID does not need the
form. You may keep a copy for your records.
• Take time to verify your mailing and email
addresses.
Confirmation Statement
• Employees are mailed a confirmation
statement when they enroll or make
changes.
• Includes:
— Coverage changes.
— Effective date.
— Premium amounts.
• Employees who do not make changes are not
mailed a statement.
• Employees should verify coverage and contact
you if their statement is incorrect.
4
Life, Health, Dental
and Vision Plans
Life Insurance
Deadline
• Employees can enroll. Oct. 31
— During Option Period.
— Within 30 days of a midyear qualifying event.
— Within 30 days of the loss of other group life coverage.
• Employees can apply to increase Supplemental
Life up to a maximum of $500,000 with a life
insurance application.
• Employees can add or increase Dependent Life
coverage.
• Encourage employees to update their
beneficiary designation.
5
Health Plans
Health Carriers Offered for 2020
• BlueCross BlueShield of Oklahoma.
• CommunityCare.
• GlobalHealth.
• HealthChoice.
• Selman & Company (TRICARE Supplement).
Note: Aetna will not be available for 2020.
Plan Changes
Selected Premium
Benefit Changes
Changes
BCBSOK – BlueLincs HMO Yes Yes
CommunityCare HMO No Yes
GlobalHealth HMO Yes Yes
HealthChoice Yes Yes
TRICARE Supplement No No
Value‐added benefits (required for PY2021): CDC‐Recognized National
Diabetes Prevention Program and bariatric surgery.
6
Plan Changes
Selected Benefit Changes
BCBSOK – • Diabetes Prevention Program – Covered at 100%.
BlueLincs • Bariatric Surgery – $250 per day, $750 maximum
HMO per admission.
GlobalHealth • There is no longer a separate physician cost‐share
for inpatient, outpatient and emergency room
stays.
• Hospital inpatient, mental health and substance
abuse inpatient – $300/day up to $900/stay.
• Hospital outpatient – $300 preferred/$800 non‐
preferred.
• Emergency room – $400/visit.
• Maternity postnatal care – $0.
• Pharmacy Benefits – specialty: $200 preferred;
$400 non‐preferred.
• Diabetes Prevention Program – $0.
• Bariatric surgery – $300/day up to $900/stay.
HealthChoice • Addition of nationally recognized CDC‐approved
Diabetes Prevention Program.
All Health Plans Include:
• Out‐of‐pocket maximums.
• Prescription drug benefits.
• Designated provider networks.
• Preventive services.
• No pre‐existing condition exclusions.
• Coordination of benefits.
• Coverage of emergency care.
Some Health Plans Have:
• Calendar‐year deductibles.
• Referral process for specialist visits.
• Preauthorization requirement for certain
medical services.
7
All HMO Plans Have:
• No deductibles.
• No coinsurance.
• No balance billing.
• A requirement that a primary care physician
be selected.
• ZIP code service area – live or work.
Health Plan Presentations
A Division of Health Care Service Corporation, a Mutual Legal Reserve Company,
an Independent Licensee of the Blue Cross and Blue Shield Association
8
SM
BlueLincs HMO
$0 Copay For
ZERO Deductible
Co-Insurance
Home Health Visits
Routine Lab & X-Rays
Preventive Health Services
Preferred Generic Drugs
Cost For Primary Care Physician Visits Diabetes Prevention Program Maternity Care
At least
20% lower
Network Customer Health & Wellness
Resources
Largest HMO network Diabetic prevention
in Oklahoma
24/7 Availability
and management
than other
Coverage in all Health and nutrition
77 counties Blue Access for management HMO Options
Members SM
No referrals required Fitness program
(BAMSM)
within HMO network discounts
Well onTarget®
More Information About
BlueLincs HMOSM
Customer Service:
1-855-609-5684
Operating Hours:
24 hours a day, 7 days per week
State of Oklahoma Employees Website:
www.bcbsok.com/state
- Find a doctor
- Check prescription drug coverage
- Log into Blue Access for MembersSM (BAMSM)
State, Education & Local Government
2020 Active & Pre-Medicare Benefits
9
2020 Provider Network
The State network includes Saint Francis and St. John Health Systems in Tulsa,
Broken Arrow, Owasso, Sapulpa, Bartlesville, Nowata, Muskogee and Vinita.
There are other network providers that are affiliated with 12 other hospitals
throughout northeastern Oklahoma.
Premier facilities that offer full
continuum of care.
Multifaceted coordination with focus on compliance and control of complex high risk conditions.
Owner systems EMR (Electronic Medical Record) accessible to providers across the spectrum of care.
2020 Health Plan Overview
No Deductible
Out‐of‐Pocket Maximum: $4,000 Individual /$8,000 Family
Office Visit: $35 PCP / $50 Specialist Copay (no referral)
Preventive Care: $0 Copay
Diagnostic Lab & X-ray: $0 Copay
Emergency Room: $200 Copay
Urgent Care: $50 Copay
Outpatient Surgery: $300 Copay
Inpatient Hospital: $350 Copay/Day (max $1,750 per admit)
2020 Pharmacy Benefit Overview
Prescription Copays: $15 Preferred Generic
* If generic equivalent is available, *$40 Preferred Name Brand
you’ll pay the copayment plus the
difference in cost between the brand *$70 Non‐Preferred
name drug and its generic equivalent.
The difference in cost will not count *$160 Specialty
toward your annual out‐of‐pocket
maximum.
Mail Order: CVS Caremark & AllianceRx Walgreens Prime
– (90 day supply)
$0 Copay Program: Select Generic Medications
Blood Pressure
Cholesterol
Anti‐Depressants
Anti‐Inflammatory
10Value Added Services
CommunityCare continues to maintain a custom website just for
State, Education & Local Government employees! state.ccok.com
• View benefits, providers & formulary guide
• Log in to the Member Connection
View and print your EOB’s
View claim history & out‐of‐pocket
Print temporary ID cards
Order replacement ID cards
2020 Reminders
The pharmacy network includes CVS, Target, Walgreens,
Walmart, Sams Club, Costco, Reasor’s and other local
pharmacies.
24/7 Nurse Line
Including weekends and major holidays. Registered nurses are
standing by on the telephone with confidential medical advice.
COB (Coordination of Benefits) Notices
Sent around March 1st.
Every Member of the family can choose a different PCP.
Call Customer Service to change primary care doctors.
All members will receive new ID cards.
2020
Fewer expenses. Greater care. Less worry.
Your Health Plan Should Cover What Matters
16 Continuous years
serving State of Oklahoma
Offered in all 77
counties in Oklahoma
employees and educators
MPP 2020 MLGMH20-ST
11We help you stay ahead of whatever
life throws your way with:
Unlimited $0 Zero $25 Urgent $500 Maternity $10 Tier 1 GlobalFit®
Primary Care Deductibles Care Copay Delivery Copay Generics Gym Membership
Physician Visits for a 30 day supply Discounts
Three-month prescription
for 2 copays for most
prescriptions.
Specialty Scans: $50 Specialist Visits
• $250 each in a preferred facility
• $750 each in a non-preferred facility
Outpatient Surgery: $10 X-Rays & Lab Copay
• $300 each in a preferred facility
• $800 each in a non-preferred facility
Inpatient Hospital: $35 Physical Therapy Copay
• $300 per day;
$900 maximum per admission
For complete listing of plan benefits and administration go to our website
www.GlobalHealth.com/state/member-materials/.
Choose a plan that puts its members first
“I recently called GlobalHealth to speak to someone about my behavioral health benefits. I was very
pleased with how kind, compassionate and knowledgeable she was in helping me with my benefits. I
love how GlobalHealth takes care of and values their members!”
Brenda R. GlobalHealth Member
“When I learned I was diagnosed with Ovarian Cancer, the last thing I wanted was to go through it
alone. My GlobalHealth case manager was by my side from the very beginning till the end of all my
treatments. And I still talk to her weekly! GlobalHealth provided me with the peace of mind
knowing that all I need to do is focus on healing.”
Cynthia B. GlobalHealth Member
“I am blessed to know the sweet people at GlobalHealth. It’s like a gift from heaven. I love the whole
GlobalHealth team. GlobalHealth is the best insurance I’ve had in my 8 decades of life, and so are all
the sweet workers. I LOVE GLOBALHEALTH!”
Ruth O. GlobalHealth Member
2017
Provider Network as of August 2019
Tulsa Area Oklahoma City Area
● Harvard Family Physicians. ● Centennial Health.
● Utica Park Clinic Physician Group. ● Mercy Hospital.
● Hillcrest Medical Center. ● Mercy Primary Clinics.
● Hillcrest South Hospital. ● Integris Baptist Medical Center.
● Hillcrest Hospital Claremore. ● Integris Health Edmond.
● Hillcrest Hospital Pryor. ● Integris Southwest Medical Center.
● Tulsa Spine & Specialty Hospital. ● Integris Primary and Specialty Care
● Oklahoma Heart Institute. Clinics.
● Oklahoma Surgical Hospital. ● Integris Deaconess Hospital.
● OSU Medical Center. ● Oklahoma Heart Hospitals (North &
● OSU Physicians. South).
● Bailey Medical Center, Owasso. ● Bone and Joint Hospital at St. Anthony.
● Oklahoma Spine and Brain ● St. Anthony Hospital.
Institute. ● Variety Care Clinic.
● McAlester Regional Health Center. ● Lakeside Women’s Center of Oklahoma.
This is not a full list of providers. Other providers are available in our network. The provider network may
change at any time. You will receive notice when necessary. To see if your local provider or hospital is in
network, visit www.GlobalHealth.com/search or call Customer Care at 1-877-280-5600.
Out-of-network care is not covered except for emergency or urgent care.
122020
Connect With Us
Call 844-299-6999 (TTY: 711)
www.GlobalHealth.com/MyStatePlan
StateAnswers@globalhealth.com
GlobalHealth Insurance Download our Mobile App
We offer a Medicare Advantage plan for State of Oklahoma
retirees. If you are a state of Oklahoma Retiree, call us today or visit
www.GlobalHealth.com/osr to learn more about this plan.
Fewer expenses. Greater care. Less worry.
A Variety of Plans
for Everyone's Needs.
• HealthChoice High – Lowest deductible and out-of-pocket maximum
and simple office visit copays.
• HealthChoice Basic – First-dollar benefit and no office visit copays.
• High and Basic members who cannot attest as tobacco free or meet one
of the reasonable alternatives will automatically be enrolled in the High
Alternative or Basic Alternative plans. The Alternative plans have a
deductible that is $250 higher.
• High Deductible Health Plan – Lowest premium, combined medical and
pharmacy expenses apply to deductible and it works with an HSA.
Network pharmacy benefits available on all plans with simple copays after
deductible.
13HealthChoice Key
Features
High Basic HDHP
• Deductible: • $500 first-dollar • Deductible:
• $750 individual. coverage. • $1,750 individual.
• $2,000 family. • Deductible: • $3,500 family.
• Coinsurance: • $1,000 individual. • Combined medical
• 80/20. • $1,500 family. and pharmacy.
• Out-of-pocket maximum: • Coinsurance: • Out-of-pocket:
• $3,300 individual. • 50/50. • $6,000 individual.
• $8,400 family. • Out-of-pocket: • $12,000 family.
• Copays: • $4,000 individual. • After deductible, plan
• $30 primary care and • $9,000 family. mirrors HealthChoice
urgent care. • No copays for network High plan.
High Alternative services.
• Deductible: Basic Alternative
• $1,000 individual. • $250 first-dollar
• $2,750 family. coverage.
Easy to Use Benefits
• No referrals needed.
• 10,000 network providers and facilities.
• Access to Select networks.
• Non-network services available.
• Value-added services.
Value-added Services
• Bariatric services.
• HealthChoice Select.
• Care Management.
• Telemedicine.
• Complex Care Program.
14Bariatric Surgery
• Several procedures available.
• Must be on HealthChoice for 12 months.
• Five convenient locations.
• Subject to deductible and copays.
Select Program
Select is available to all HealthChoice plans.
• 100% of certain services and procedures.
• No out-of-pocket costs for members of the
HealthChoice High, High Alternative, Basic
and Basic Alternative Plans.
• No out-of-pocket costs for members of the
HealthChoice High Deductible Health Plan
after deductible is met.
• Learn what procedures are covered at
100% by going to the Select webpage on
www.healthchoiceok.com.
Care Management Program
Care Management and Care Coordination are available to all HealthChoice
members. A dedicated care coordination team is waiting to provide assistance
in coordinating health care needs of members and will:
• Assist with where and when to seek medical care.
• Assist with understanding medications.
• Assist when transitioning home.
• Identify and contact members with care gaps – preventive care and
medication adherence.
• Ensure members are comfortable in their understanding of directions given
at doctor’s office or hospital.
15Complex Care Program
• Program provides treatment and care of serious, rare or complicated
conditions.
• You will be contacted directly if identified with:
• Multiple health issues.
• Rare medical issues.
• Health problems that remain unresolved.
Telemedicine
COMING in 2020!
• Available 24/7/365.
• Basic physician services.
• Secure.
• User-friendly.
• Unlimited, immediate and
easy access.
HealthChoice Connect:
Member Self-service Portal
Your online source for:
• Access to claims history.
• Benefit information.
• Update annual Verification of Other Insurance Coverage.
• Ability to order ID cards.
• Review out-of-pocket amounts.
16Tobacco-Free
Attestation
• Must complete online HealthChoice
Tobacco-Free Attestation for Plan Year
2020 to remain in High or Basic plan.
• HealthChoice waives the attestation the
first year of enrollment in High or Basic
plan but requires it each year thereafter.
• Does not apply to HealthChoice High
Deductible Health Plan.
• Deadline to complete the attestation is
Nov. 8, 2019.
New for 2020: Complete the HealthChoice Tobacco-
Free Attestation and update the annual Verification of
Other Insurance Coverage at the same time!
Dental Plans
Dental Carriers for 2020
• Cigna.
• Delta Dental.
• HealthChoice.
• MetLife.
• Sun Life.
17Plan Renewals
Premium Changes
Cigna Dental Care Plan (Prepaid) No
Delta Dental PPO Yes
Delta Dental PPO – Choice No
HealthChoice Dental Yes
MetLife High Classic MAC Yes
MetLife Low Classic MAC Yes
Sun Life Preferred Active PPO Yes
Note: There were no changes in suppliers, plans or benefits from 2019.
All Dental Plans Include:
• Preventive care.
• Basic care.
• Major care.
• Orthodontic care.
Dental Plan Presentations
18YOUR DENTAL
PLAN OPTIONS
Plan year: Jan. 1, 2020 –
Dec. 31, 2020
Offered by Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, or their affiliates.
862420 b
A plan where one dentist coordinates your care within a network
that provides general and specialty dental care
• You choose a primary care dentist in the DHMO network
where you can receive all your care
Cigna Dental
• By using dentists in the DHMO network you may pay less
Care® Dental than you would with other types of dental plans
Health • You pay an office visit fee and the charge listed on your
Maintenance Patient Charge Schedule
Organization • There is no out-of-network coverage (except in
(DHMO*) emergencies)**
• There are no deductibles and no annual dollar maximums
DHMO
Coverage with no deductibles or waiting periods DENTAL:
DHMO
Examples of covered services*
Preventive care, such as cleanings and exams, at no added or low cost
Additional cleanings, fluoride, and fluoride varnish available for a copay
Temporomandibular joint (TMJ) diagnosis
General anesthesia/IV sedation when medically necessary
Coverage for brush biopsy, a noninvasive diagnostic procedure for detecting oral cancer
Coverage for teeth whitening (take-home bleaching gel with trays) and athletic mouth guards
No age limit on sealants
Coverage for advanced procedures like crowns and bridges over implants
Second opinions covered
Emergency care
Orthodontic coverage for children AND adults
19Cigna Dental Oral Health Integration Program®
PROGRAMS
& SERVICES
More programs More wellness More discounts
Available to ALL Cigna Dental Articles on behavioral 40% off* average retail prices on
customers with qualifying condition(s) issues linked to oral health certain prescription dental products*
Chronic Head and
Heart Organ
Dental Services Disease
Stroke Diabetes Maternity Kidney
Transplants
neck cancer
Disease radiation
Periodontal treatment and maintenance
(D4341, D4342, D49101)
Periodontal evaluation (D0180)
Oral evaluation (D01202, D01402, D01502)
Cleaning (D11103)
Emergency palliative treatment (D91104)
Topical application of fluoride and topical
application of fluoride varnish (D12065)
Topical application of fluoride – excluding
varnish (D12085)
Sealants (D13515)
Sealant repair – per tooth (D13535)
1. Four times per year. 4. No limitations.
2. One additional evaluation. 5. Age limits removed, all other limitations apply.
3. One additional cleaning
We’re here 24/7/365
TOOLS &
RESOURCES
By phone – 800.244.6224
• Call anytime day or night for live customer service
• Ask for a Spanish-speaking representative or speak with us in your preferred language – interpreter service is
available in over 200 languages
• Get help finding a dental office
• Check your eligibility
myCigna – online or through the mobile app
• Review your plan information and check a claim status Download the myCigna
• Find network dentists Mobile App*** for easy
• Print temporary ID cards access on the go!
• Change your DHMO dental office*
• View year-to-date dental costs and estimate approximate costs prior to treatment
• Take oral health assessments that you can share with your dentist
Dentists who participate in Cigna’s network are independent contractors solely responsible for the treatment provided and are not agents of Cigna. The information in this
presentation summarizes the highlights of your plan. For a complete list of both covered and not covered services, including benefits required by your state, see your
employer’s plan booklet, evidence of coverage, insurance certificate, or summary plan description – the official plan documents. If there are any differences between the
information in this presentation and the plan documents, the information in the plan documents takes precedence.
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. Cigna Dental Care (DHMO) plans are insured by Cigna
Dental Health Plan of Arizona, Inc., Cigna Dental Health of California, Inc., Cigna Dental Health of Colorado, Inc., Cigna Dental Health of Delaware, Inc., Cigna Dental Health
of Florida, Inc., a Prepaid Limited Health Services Organization licensed under Chapter 636, Florida Statutes, Cigna Dental Health of Kansas, Inc. (KS & NB), Cigna
Dental Health of Kentucky, Inc. (KY & IL), Cigna Dental Health of Maryland, Inc., Cigna Dental Health of Missouri, Inc., Cigna Dental Health of New Jersey, Inc., Cigna Dental
Health of North Carolina, Inc., Cigna Dental Health of Ohio, Inc., Cigna Dental Health of Pennsylvania, Inc., Cigna Dental Health of Texas, Inc., and Cigna Dental Health of
Virginia, Inc. In other states, Cigna Dental Care plans are insured by Cigna Health and Life Insurance Company (CHLIC), Connecticut General Life Insurance Company
(CGLIC), or Cigna HealthCare of Connecticut, Inc., and administered by Cigna Dental Health, Inc. Cigna Dental PPO plans are insured or administered by CHLIC or CGLIC,
with network management services provided by Cigna Dental Health, Inc. and certain of its subsidiaries. In Texas, the insured dental plan is known as Cigna Dental Choice,
and this plan uses the national Cigna DPPO network. Policy forms: OK - Dental Indemnity/PPO: HP-POL99 (CHLIC), GM6000 ELI288 et al (CGLIC); DHMO: HP-POL115
(CHLIC), GM6000 DEN201V1 (CGLIC); TN – Dental Indemnity/PPO: HP-POL69/HC-CER2V1 et al, DHMO: HP-POL134/HC-CER17V1 et al (CHLIC). The Cigna name, logo,
and other Cigna marks are owned by Cigna Intellectual Property, Inc.
862420 b 05/16 © 2016 Cigna. Some content provided under license.
20Appendix A
DHMO for residents of Minnesota and Oklahoma
Minnesota Residents: When enrolling in a DHMO plan, you must visit your selected network dentist in order
for the charges on the Patient Charge Schedule to apply. You may also visit other dentists that participate in
our network or you may visit dentists outside the Cigna Dental Care network. If you do, the fees listed on the
Patient Charge Schedule will not apply. You will be responsible for the dentist’s usual fee. We will pay 50% of
the value of your network benefit for those services. You’ll pay less if you visit your selected Cigna Dental
Care network dentist. Call Customer Service for more information.
Oklahoma Residents: DHMO for Oklahoma is an Employer Group Pre-Paid Dental Plan. You may also visit
dentists outside the Cigna Dental Care network. If you do, the fees listed on the Patient Charge Schedule will
not apply. You will be responsible for the dentist’s usual fee. We pay non-network dentists the same amount
we’d pay network dentists for covered services. You’ll pay less if you visit a network dentist in the Cigna
Dental Care network. Call Customer Service for more information.
2020 Dental Benefits Options
for State, Education & Local Government Employees
We Deliver a Superior Customer Experience
DDOK does not deny No waiting periods before
coverage due to you can begin receiving
pre-existing conditions treatment
Our coverage includes We allow benefits for Overall member satisfaction
replacement of a missing comprehensive orthodontic rating – and percentage of
tooth, even if it was lost prior cases, even if treatment was inquiries (calls) resolved
to your DDOK coverage started prior to DDOK during initial contact
coverage
21We Deliver the Largest Network of Dentists
Oklahoma’s
Largest Dental
Network
Our unmatched network strength means Nearly 1,800 dentists practice in the state,
your dentist likely participates with Delta Dental – and more than 1,100 of those dentists
ask if your dentist is a Delta Dental PPO provider participate in Delta Dental’s PPO network.
to enjoy maximum savings!
Nationwide
Access
Option 1: Delta Dental PPO*
†If
you receive treatment from a Delta Dental Premier provider, you will be responsible for the difference between the
PPO allowable and Premier allowable amounts. If you are treated by a dentist who does not participate with Delta Dental
(out‐of‐network), you will be responsible for the difference between the dentist charge and the PPO allowable amount. **DEPENDENTS ELIGIBLE TO AGE 26
Option 1: Delta Dental PPO
This plan option provides access to both the Delta Dental PPO and the Delta Dental Premier
networks. Subscribers of this plan are welcome to receive treatment from the licensed dentist of
their choice, but will have lower out-of-pocket expenses when they visit a Delta Dental PPO
participating dentist.
Example
Payment of a covered Class II dental service**
**Assumes deductible is satisfied
22Option 2: Delta Dental PPO – Choice**
Members who select this low-cost program have access to the Delta Dental PPO network and will be responsible for the
amounts reflected in the Delta Dental PPO – Choice Description of Covered Services and Enrollee Co-payments table along
with any deductible. Their out-of-pocket expenses will be lower if they use a Delta Dental PPO provider.
EXAMPLES OF COVERED SERVICES & ENROLLEE CO-PAYMENTS
*Assumes deductible is satisfied **DEPENDENTS ELIGIBLE TO AGE 26
Visit Our Custom Website for State Employees
To learn more about the plans and services available
to you with Oklahoma’s leading dental benefits
provider, please visit DeltaDentalOK.org/client/OK
Review Plan Information
Search for Participating Dentists
Access Monthly Health Tip
Learn Answers to FAQs
Register for Spotlight to access:
‒ electronic ID card
‒ plan information,
including Explanation of Benefits (EOBs)
‒ claim status and history, and more!
Visit DeltaDentalOK.org/client/OK today!
We would welcome the opportunity to serve you and your family in 2020.
Please do not hesitate to contact us with any questions.
Live Answer Customer Service
Monday – Thursday, 7:00 a.m. – 6:00 p.m.
Friday, 7:00 a.m. – 5:00 p.m.
405-607-2100 (OKC Metro) 800-522-0188 (Toll Free)
DeltaDentalOK.org/client/OK
23The Plan of Choice
Dental Plan
Dental Plan
When using a network provider:
• Preventive care is covered at 100%.
• A $25 deductible applies to basic and major
care.
• After the deductible, you pay:
— 15% for basic care.
— 40% for major care.
• Orthodontic care is covered at 50%.
— No calendar year or lifetime maximum.
— A 12-month waiting period applies.
• $2,500 calendar year maximum benefit for
all other services.
Dental Plan Providers
• You have the option to see any dental provider you choose,
network or non-network.
• Using a network provider will provide you a higher level of
benefit.
• Network providers will not balance bill.
• Find a network provider on healthchoiceok.com under Find a
Provider.
24Preventive Services
Covered services include:
• Cleanings.
• Bitewing X-rays, routine oral examinations (2 times per year).
• Full mouth X-rays (1 time per 36 months).
• Topical fluoride treatments (2 times per year).
• For more covered services refer to the HealthChoice Dental
Plan handbook.
Basic Restorative
Services
Covered services include:
• Extractions, including wisdom teeth.
• Oral surgeries.
• Composite filling restorations.
• Endodontic treatments.
• For more covered services refer to the HealthChoice Dental
Plan handbook.
Major Restorative
Services
Covered services include:
• Initial placement of dentures.
• Dental implant systems.
• Inlays.
• Onlays.
• Restorations.
• For more covered services refer to the HealthChoice Dental
Plan handbook.
25Orthodontic
Services
Covered services include:
• Orthodontic services for members under age 19.
• Orthodontic services for treatment of TMD for members at any
age (certification required).
• Molar uprighting.
• For more information on orthodontic services refer to the
HealthChoice Dental Plan handbook.
MetLife Dental Insurance
Prepared for : State of Oklahoma
Metropolitan Life Insurance Company, New York, NY 10166
© 2019 METLIFE Services and Solutions, LLC L0819517372[exp0820][OK]
State of Oklahoma employees and educators
Dental Network
There are thousands of general dentist and specialists to choose from
nationwide – So you are sure to find one that meets your needs.
Best Access areas in Oklahoma
MetLife PDP PLUS
City or Area Associated with MetLife Estimated MetLife PDP Plus
State Zip Code All Dentists1 Network % of All
3‐digit Zip Code Participants1 Network Dentists1
Dentists
OK 730 Oklahoma City Vicinity 875 40,313 729 83.3%
OK 731 Oklahoma City 1,871 35,721 1,507 80.5%
OK 737 Enid 145 3,071 137 94.5%
OK 740 Tulsa Vicinity 823 31,552 823 100.0%
OK 741 Tulsa 810 17,580 790 97.5%
OK 743 Vinita 136 2,906 136 100.0%
OK 744 Muskogee 239 6,224 235 98.3%
OK 746 Ponca City 46 3,102 41 89.1%
OK 748 Shawnee 211 7,135 189 89.6%
OK 749 Fort Smith (AR) West 89 2,803 75 84.3%
1 MetLife data as of July 2019
Metropolitan Life Insurance Company, New York, NY 10166
© 2019 METLIFE Services and Solutions, LLC L0819517372[exp0820][OK]
26State of Oklahoma employees and educators
Dental Benefits
Choice of the dental plan that’s right for you based on your needs and budget:
High Classic MAC Plan – Highest PPO benefit levels ($5,000 annual maximum and
lifetime adult orthodontia of $2,000)
Low Classic MAC Plan – Competitive premiums (less than $340/year for EE only)
No cost for in-network cleanings, x-rays and exams1
No waiting periods, including for Orthodontia
* Savings from a MetLife Dental plan near Oklahoma City and Tulsa as compared to the cost of not having insurance
** These are hypothetical examples only. Actual costs and savings may vary
In‐Network In‐Network
High Out‐of‐ Out‐of‐
Dental Service in Cost if not Dentist Dental Service in Cost if not Dentist High Classic
Classic Pocket Savings3 Pocket Savings3
Oklahoma City enrolled Negotiated Tulsa enrolled Negotiated MAC pays
MAC pays Cost Cost
Fee2 Fee2
Cleaning $101 $55 100% $0 $101 Cleaning $94 $52 100% $0 $94
Cavity Filling $245 $113 85% $17 $228 Cavity Filling $255 $107 85% $16 $239
Root Canal $1,303 $663 85% $99 $1204 Root Canal $1,112 $626 85% $94 $1,018
Porcelain Crown $1,269 $705 60% $282 $1,187 Porcelain Crown $1,237 $667 60% $267 $970
Dental Implant $2,386 $1,352 60% $541 $1,845 Dental Implant $2,043 $1,694 60% $678 $1,365
1 Subject to frequency limitations
2 Based on MetLife data. Negotiated fees refers to the fees that in‐network dentists have agreed to accept as payment in full for covered services, subject to any co‐payments, deductibles, cost sharing and benefits maximums. Negotiated fees are subject to change.
3 Savings from enrolling in a MetLife Dental Plan featuring the Preferred Dentist Program will depend on various factors, including the cost of the plan, how often participants visit the dentist and the cost of services rendered.
* Savings calculations based on analysis of 2019 claims information, comparing participating dentists’ reported usual charges for services to negotiated fees for those same services
**Please note: These are hypothetical examples. They assume services are performed by an in‐network dentist, that the annual deductible has been met and annual maximums have not been reached. Fees and savings in your area may be different.
.
Metropolitan Life Insurance Company, New York, NY 10166
© 2019 METLIFE Services and Solutions, LLC L0819517372[exp0820][OK]
State of Oklahoma employees and educators
MetLife Dental Mobile App
To use the MetLife mobile app, employees can choose to register
at metlife.com/mybenefits from a computer or directly through
the app. (Certain features of the MetLife Mobile App are not
available for all MetLife Dental Plans)
Get estimates for View your View your
Find a Dentist
most procedure fees claims ID Card
Metropolitan Life Insurance Company, New York, NY 10166
© 2019 METLIFE Services and Solutions, LLC L0819517372[exp0820][OK]
Thank you!
Like most group benefit programs, benefit programs offered by MetLife and its affiliates contain certain exclusions, exceptions, limitations, reductions, waiting periods and terms for keeping them in
force. Please contact MetLife or your plan administrator for costs and complete details.
Metropolitan Life Insurance Company, New York, NY 10166
© 2019 METLIFE Services and Solutions, LLC L0819517372[exp0820][OK]
27SLPC 27622
Dental Coverage Overview
Procedure Type In-Network Out-of-Network
I - Preventive Services 100% 100%
II - Basic Services 85% 70%
III - Major Services 60% 50%
IV - Ortho Services 60% 50%
• Calendar Year Maximum (type I, II, and III) = $2,000
per person
• Ortho Maximum = $2,000 lifetime per child under age
19
DENTAL INSURANCE
GVMPPPT-EE-4496B SLPC 27622
Network dentists can save you* $$
Example Network dentist Non-Network dentist
Average charge for crown** $1,145 $1,145
Minus network discount 30% NA
Actual Fee $802 $1,145
Insurance pays 50% $401 $573
Claimant pays $401 $572
You could save $171 by going to a network dentist!!
*This example is for illustrative purposes only. Cost of dental procedures may differ depending on location or dental provider. Savings may also differ in
cases when deductibles apply or if the dentist’s discount differs from 30%
**Based on 2017 Sun Life claims data. Figures have been rounded to the nearest dollar.
DENTAL INSURANCE
GVMPPPT-EE-4496B SLPC 27622
28How to find a dentist
• Visit www.sunlife.com/findadentist
– Select Sun Life Dental Network®, the PPO network
for your plan
– Enter your search criteria and a list of participating
dentists will be provided
• Call customer service at 800-442-7742 for
assistance in locating a network dentist
• Use the Provider nomination card if your dentist is
not in our network of dentists
DENTAL INSURANCE
GVMPPPT-EE-4496B SLPC 27622
Questions?
GVMPPPT-EE-4496B
The Sun Life Financial group of companies operates under the “Sun Life Financial” name. In the United States and elsewhere, insurance
products are offered by members of the Sun Life Financial group that are insurance companies. Sun Life Financial, Inc., the publicly traded
holding company for the Sun Life Financial group of companies, is not an insurance company and does not guarantee the obligations of these
insurance companies. Each insurance company relies on its own financial strength and claims-paying ability.
Group insurance policies are underwritten by Sun Life Assurance Company of Canada (Wellesley Hills, MA) in all states, except New York, under
Policy Form Series 93P-LH, 98P-ADD, 07-SL REV 7-12, 07P-LH-PT/07C-LH-PT, 01P-ADD-PT/01C-ADD-PT, GP-A, GC-A, 12-GP-01, 15-GP-
01, 12-DI-C-01, 16-DI-C-01, 13-SD-C-01, 13-SDPort-C-01, 12-AC-C-01, 12-ACPort-C-01, 16-AC-C-01, 16-ACPort-C-01, 13-ADD-C-01, 13-
ADDPort-C-01, 15-ADD-C-01, 12- GPPort-P-01, 12-STDPort-C-01, 16-SD-C-01, 16-SDPort-C-01, 16-CAN-C-01, 16-CANPort-C-01, 15-LF-C-01,
15- LFPort-C-01, 16-DEN-C-01, 16-VIS-C-01, TDBPOLICY-2006, and TDI-POLICY. In New York, group insurance policies are underwritten by
Sun Life and Health Insurance Company (U.S.) (Lansing, MI) under Policy Form Series 15-GP-01, 13-GP-LF-01, 13-LF-C-01, 13-GP-LH-01, 13-
ADD-C-01, 12-DI-C-01, 16-DI-C-01, 13-LTD-C-01, 13-STD-C-01, 06P-NY-DBL, 07-NYSL REV 7-12, GC-A, GP-A, 12-GP-SD-01, 13-SD-C-01,
13-SDPort-C-01, 12-GP-01, 12- AC-C-01, 12-ACPort-C-01, 12-GPPort-01, 13-LFPort-C-01, 13-ADDPort-C-01, 15-LF-GP-01, 15-SD-GP-01, and
12- STDPort-C-01. Product offerings may not be available in all states and may vary depending on state laws and regulations. The group
insurance policies described in this advertisement do NOT provide basic hospital, basic medical, or major medical insurance.
© 2018 Sun Life Assurance Company of Canada, Wellesley Hills, MA 02481. All rights reserved. Sun Life Financial and the globe symbol are
registered trademarks of Sun Life Assurance Company of Canada. Visit us at www.sunlife.com/us.
3/17 (exp. 3/19)
GVMPPPT-EE-4496B
29Vision Plans
Vision Carriers Offered for 2020
• Primary Vision Care Services
(PVCS).
• Superior Vision.
• Vision Care Direct.
• VSP (Vision Service Plan).
Plan Renewals
Premium
Changes
PVCS Yes
Superior Vision No
Vision Care Direct No
VSP No
Note: There were no changes in suppliers, plans or benefits from 2019.
30All Vision Plans Include:
• Coverage for exams, lenses, frames, contact
lenses and more.
• Designated provider networks.
• Limited coverage for services by non‐
network providers.
Comprehensive Continuous Coverage with PVCS
Laser Vision Correction
An Oklahoma Vision Care Company
www.pvcs-usa.com | 888-357-6912
PVCS BENEFITS
EXAMS
• $0 COPAY
• Not limited to once
a year
LENSES
• Member pays “Wholesale
Cost*” for prescription
lenses and lens options
FRAMES CONTACT LENSES
• Member pays • Member pays “Wholesale
“Wholesale Cost*” Cost*” for Contact lenses
for Frames • Copay for 1st time fittings
*Wholesale cost is the manufacturers published list price plus tax and shipping rounded up to the nearest
$5. It is roughly 50% less than retail prices.
31Network Benefits
• No ID Cards required
• Simply select a PVCS Provider and identify
yourself as a PVCS Member
• Eye Exams are covered 100% and not limited
to once a year
• Members are eligible for Glasses and Contact
lenses in the same plan year
• Get as many pairs of Prescription Glasses as
Our Network •
you want or need
Prescription Glasses and Contact lenses are
• Over 350 Independent Optometrists and provided at “Wholesale Cost”
Ophthalmologists
• All Providers dispense glasses and contacts
• Glasses can be made at the lab of their
choice, including their own lab resulting in
quick delivery
An Oklahoma Vision Care Company
www.pvcs-usa.com | 888-357-6912
Lasik
• Save up to $1000 on Lasik with PVCS
and nJoy Vision in Oklahoma City and
Tulsa!
Non‐Network
• Non‐Network reimbursement up to
$40 for an eye exam and up to $60 for
prescription glasses or contact lenses
Questions? in lieu of Network Benefits.
• Customer Service: 888‐357‐6912
• Website: www.pvcs‐usa.com
• Email: email@pvcs‐usa.com
An Oklahoma Vision Care Company
www.pvcs-usa.com | 888-357-6912
32Join us online or give us a call
• Website: superiorvision.com
• Phone: 1 (800) 507-3800
• Live support:
Monday – Friday: 8 a.m. to 9 p.m. CST
Saturday: 10 a.m. to 4:30 p.m. CST
• Benefit information
• Eligibility status
Have questions? • Claims information
We have answers! • Provider listings
• Assistance with issues and special requests
33Members can easily find a provider online
Members can:
• Get directions
• Call the provider
• Determine services offered
• See languages available
100
Your mobile app is also ready to help
It’s easy to use and highly rated
Create an online View vision Locate a vision Display member
account benefits provider ID card
Log in with the Review your vision Find a vision View your member
same username benefits and provider in your ID card full screen,
and password as eligibility network, call the print and email it.
superiorvision.com, information for provider, visit their
or create a new yourself and for website and even
account in the app. any dependents. get directions
101
34SIMPLE. FLEXIBLE.
AFFORDABLE
2020 VISION PLAN OFFERING
LOCALLY OWNED AND OPERATED
Local Customer Service
Tax Revenue Stays Local
Oklahoma
Supports Teachers Proud
Doctor Controlled Care
Patient Focused
FOCUSED ON YOU
EYE EXAMS GLASSES CONTACTS
Comprehensive Eye Health ANY Frame $130 Allowance
Early Disease Detection $130 Allowance
$15 MEMBER FEE $15 MEMBER FEE $0 MEMBER FEE
352020 Plan Improvements
• Over 100 New Plus Plan Providers
• Eyemart Express, Pearl Vision and more
• No Premium Increase
• Conquering Out-of-Pocket costs
Supercharge Your VCD Plan
Get access to PLUS Plan FREE Upgrades by visiting any Look for this logo when searching for a provider!!
one of our VCD PLUS doctors!
BENEFITS INCLUDED
FRAME/CONTACT
Up to $130
S
Single Vision
LENSES Bifocal
Trifocal
HD Polycarbonate
Anti-Reflective Coating
Scratch Resistance
EXTRAS
UV Protection
Oil & Water Repellent
Progressive (No-Line)
Don’t break the bank!
CONTACT US
Customer Support
(855) 918-2020
Dedicated Website
www.okstate.vision
Email Address
oklahoma@visioncaredirect.com
36Your VSP
Vision Benefits
Members First,
Members for Life
Effective Jan. 1, 2020
WHY CHOOSE VSP?
Low out of pocket costs Quality care. More choices.
64 years of helping people Nationwide network of
see well and stay healthy more than 38,000 providers
88 million Providing no-cost eye care through Great value!
members nationwide Eyes of Hope® VSP® is consumers’ #1
choice In vision care2
1. VSP insurance plans have exclusions and limitations. For costs and complete details
of the coverage, contact VSP at 800.877.7195.
2. National Vision Plan Member Study, 2017.
VSP Plan at a glance
Exam • WellVision Exam covered every calendar year $10 Copay
Frame Allowance $170 Frame allowance every calendar year + extra $50 allowance for featured frame brands.
Lenses • Single vision, lined bifocal or lined trifocal lenses for adults. $25 Copay included in glasses.
(every calendar year) • Single vision, lined bifocal or lined trifocal polycarbonate lenses for children. $25 Copay included in glasses.
• Standard Progressive lenses covered with $0 copay
Lens Enhancements
• 20‐25% savings on lens enhancements–Scratch‐resistant, UV, Anti‐reflective coating
Contact Lens Allowance
$120 allowance for contacts lenses and copay up to $60 for contacts lens exam (fitting and evaluation)
(in lieu of glasses)
Diabetic Eyecare
Services related to diabetic eye disease glaucoma, and age‐related macular degeneration. $20 Copay
Plus Program
Retinal Screening No more than a $39 copay on routine retinal screening as an enhancement to a WellVision Exam.
$8.72 Member only, $14.50 Member + spouse, $14.42 Member + child,
Your Monthly Contribution $20.20 Member + spouse + child, $21.20 Member + 2 or more children,
$26.98 Member + spouse + 2 or more children
37Premier Program Savings
Save even more and get more through extra offers,
like additional savings on frames, lenses, and contacts
that are exclusive to Premier Program locations.
Access to exclusive Bonus Offers
A wide selection of featured frame brands¹
Eyewear protection warranty
The latest in performance lenses
An advanced eye exam
Participation in the VSP preventive
eye health and wellness program
Eyeconic.com
Eyeconic is the only place where
VSP members can shop online for contacts and
eyewear with their
VSP insurance in-network.
Personalized: As a VSP-owned company, Eyeconic seamlessly
connects VSP vision benefits to your account.
Simple: Save time and money on quality eyewear with a few
easy clicks.
1. Connect your vision insurance.
2. Select your product.
3. Upload your prescription or provide your doctors contact
information and we’ll take care of the rest.
Choice: Eyeconic offers a variety of well-known brands and
contact lenses. Choose from over 35 eyewear brands and over
1600 styles.
Exclusive Member Extras
Big Value. More Saving with VSP Vision Care.
With Exclusive Member Extras, savings never looked so good.
VSP puts members first by providing you with exclusive special
offers. Discover great deals on glasses, sunglasses, contact
lenses, and more.
Special Deal on Glasses —
Extra $50 on Featured Frame Brands
Save 25-40% on popular lens enhancements
Save Up to $50 on Non-prescription Sunglasses
*Offers vary based on benefit plan.
38Participating Retail Chains
Over 8,000 participating retail locations
in the VSP network:
Retail Chains include:
• Walmart Vision Center.
• Pearle Vision.
• Visionworks.®
• MyEyeDr.
• Clarkson Eyecare.
• RxOptical.®
• Optyx.
• Costco® Optical.
• And More!
Using your benefit is easy
Once you’re enrolled …
• Create an account at vsp.com and review your
benefit information
• Find a VSP in-network doctor by visiting
vsp.com or calling 800.877.7195
• No ID card needed, at your appointment, simply
tell them you have VSP
ENROLL
TODAY!
9/19/19 – 11/08/19
Enjoy the complete coverage
and quality care you deserve.
To learn more contact us
at 800.877.7195 or www.vsp.com.
©2019 Vision Service Plan. All rights reserved.
VSP, Eyeconic, eyeconic.com, Eyes of Hope, and WellVision Exam are registered trademarks of Vision Service Plan. All other brands are the property of their respective owners. 40152 VCCL
39Helpful Hints
• Utilize your resources.
• Reach out to your employees.
• Complete and submit forms by the deadlines.
• Verify all signatures.
• Keep your employees informed.
Questions
and
Discussions
Please complete the seminar evaluation.
Fax it to 405‐717‐8949 or
Email it to me at [MSR EMAIL].
Thank you for attending.
40You can also read
