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    Vision
       
Highlights of the Plans
        How the Plans Work
        What the Plans Cover
        Additional Discounts Through VSP Preferred Providers
        What's Not Covered
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Highlights of the Plans
Features
Who is eligible
PFSP, DCU and ATU early retirees and eligible dependents enrolled in the Kaiser Permanente HMO, Providence Personal Option Plan and Providence Open Option Plan
Enrollment
You must enroll and make monthly self-payments to participate in the Trust Early Retiree Voluntary Dental/Vision Plans
Basic Dental/Vision
Combined dental/vision package that provides:
  • Dental — benefits for diagnostic and preventive care, basic, restorative and prosthodontic services up to a maximum annual benefit of $1,200 per person per calendar year
  • Vision — benefits for routine eye exams, lenses, frames and additional discounts through VSP preferred providers. Copayments and maximum benefit allowances apply. You may purchase eye services and materials not covered by the plan at discounted prices from VSP preferred providers
Buy-up Dental/Vision
Combined dental/vision package that provides a higher level of coverage:
  • Dental — benefits for diagnostic and preventive care, basic, restorative and prosthodontic services up to a maximum annual benefit of $1,750 per person per calendar year. Orthodontic services paid up to $1,250 lifetime benefit maximum per person
  • Vision — benefits for routine eye exams, lenses, frames and additional discounts through VSP doctors. Many services covered in full up to the benefit maximum. You may purchase eye services and materials not covered by the plan at discounted prices from VSP preferred providers
 
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