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Vision Plans

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Vision Insurance Overview

If you don’t have dental coverage from an employer, you will find that most insurance companies do not offer individual dental insurance plans.

Many companies claim to offer individual dental insurance when they are actually selling discount plans that only provide discounts for dental services at participating providers and do not provide actual insurance benefits.

The plans from Ameritas Dental, Aetna, Humana Dental, Spirit Dental, and Primestar Dental below are individual and family dental insurance plans, not dental discount programs.


Vision Plans
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Ameritas Dental Plans

Our Rating: Vision Plans

Ameritas is one of the nation’s leading providers of dental care services with 3.5 million insured members nationwide. If you’re looking for an individual dental PPO plan that offer similar benefits to a group dental plan, an Ameritas Dental Plan is for you. It provides coverage for everything an employer plan would – preventive care coverage for cleanings and X-rays, crowns, bridges, and fillings.

Freedom to Use Any Dentist with Confidence

The Ameritas Dental Plans allow you the freedom to use any dentist and reimburse non-network providers at the 90th percentile of usual & customary prices (i.e. 9 out of 10 dentists do not charge more than Ameritas’ reimubursement amount).

No Waiting Periods if Transitioning from Group Plan

Ameritas dental plans offer previous group dental participants a waving of any waiting periods if they transition to one of their plans within 30-days. This is the only individual plan that has this feature. If you are not transitioning from a group plan, they have waiting period of 6-months for minor work and 12-months for major dental work. There is no waiting period for preventive care on any plan.

Ameritas Dental - Choice Plan

 

Plan Highlights

  • $1,500 annual maximum benefit.
  • NO WAITING PERIODS for PREVENTIVE & BASIC services.
  • No deductibles for preventive services.
  • Preventive services do not apply toward annual maximum benefit.

 

Rates and Payment Info

CHOICE DENTAL PLAN Rates:
$34.00 per Month for Member 
$66.50 per Month for Member plus Spouse 
$75.00 per Month for Member plus Children (same rate up to 5 children)
$108.00 per Month for Family (same rate up to 5 children)

Product Details - schedule of benefits and coverage

$25 co-pay per office visit

Category

Plan Pays

PREVENTIVE CARE

Includes exams, cleanings, sealants, bitewing & full mouth X-rays, and fluoride treatments.

    No waiting period.
    No deductible for Type 1 Services.
    Treatment costs do no apply toward annual benefit max.

100%

BASIC CARE

Includes fillings, x-rays, restorative amalgams & composites.

No waiting period.
$1,500 annual maximum benefit per member or dependent.

80%

MAJOR CARE

Includes oral surgery, endodontics, periodontics, dentures, crowns, bridges, simple tooth extraction, complex extractions, anesthesia, onlays and implants,, and periodontal maintenance.

12 month waiting period on Major Dental benefits.
$1,500 maximum annual benefit per member or dependent on basic and major dental services.

50%

Annual Maximum 
$1,500 maximum annual benefit per member or dependent on basic and major dental services.

$1,500 per person


LOCATE PROVIDER


Effective Dates

Monthly recurring premium rates are as indicated above.

Coverage for enrollment between the 1st - 25th is effective on the first of the following month. Enrollment between the 26th - month end, is effective on the first of the next month.
(I.E. enrollment on January 1 - 25th, is effective on February 1. Enrollment on January 26-31st, is effective on March 1)

Your first payment will be collected from your credit/debit card upon enrollment.

Future payments will be collected on the 25th of each month thereafter, after your effective date.

 

 

Dental FAQ

How much does the coverage cost?

The CHOICE DENTAL PLAN rates are:
$34.00 per Month for Member 
$66.50 per Month for Member plus Spouse 
$75.00 per Month for Member plus Children 
$108.00 per Month for Family

The PREMIER DENTAL PLAN rates are:
$49.00 per Month for Member 
$94.00 per Month for Member plus Spouse 
$104.00 per Month for Member plus Children 
$138.00 per Month for Family

Does My Dental Plan have a waiting period?
There are NO WAITING PERIODS for Preventive and Basic Dental Care!
There is a 12 month waiting period for Major Dental Care.
All benefits begin on your effective date. 

Who is eligible to purchase the plan?

The insurance coverage is available in states where it's approved to anyone age 18 and older. You can request coverage for your dependents; dependent eligibility varies based on state law.

Can I see the dentist I have now?
Yes, you are always free to visit the dentist of your choice. The Ameritas "CLASSIC PPO" network offers more than 300,000 locations nationwide for dental care, which means you benefit from credentialed dentists who offer a discount on services provided. LOCATE PROVIDER - (enter your zip code & select "CLASSIC PPO" network)

Do I have coverage outside of the state I live in?
Yes, if you are traveling or have a covered dependent living in a different state, you will still have coverage. 

Are my rates guaranteed?
Your rates are guaranteed for 12 months following your plan's effective date. After that, you will receive at least 30 days' notice (more if required by state law) if your rates change.

How do I submit claims?
You or your dentist may submit completed claim forms along with any requested information to the address provided on your member id card. Dentists may submit claims electronically to the contact information provided on your member id card. You may also contact us directly for assistance. 

What if I want to cancel the policy?
All cancelations must be submitted in writing to 

Agentra
Attn: Dental Dept.
15280 Addison Road, Suite 250 
Addison, TX 75001 

OR by calling 800-979-8266. All Cancelation requests will be effective on the next billing period.

What is your refund policy?
You can receive a full refund of the premium paid anytime within the first thirty days of your enrollment date, provided that no insurance claims of any kind have been submitted.

When will I receive my insurance id cards?
Member ID cards are generally shipped within 7-10 business days after your enrollment has been processed. Actual receipt of your id cards may vary, as all id cards are sent via USPS first class mail.

Replacement id cards may be requested by contacting member services at 1-800-979-8266. 

What if I have more questions?
Please contact us at [email protected]

Ameritas Dental - Premier Plan

 

Plan Highlights

  • $3,000 annual maximum benefit.
  • NO WAITING PERIODS for PREVENTIVE & BASIC services.
  • No deductibles for preventive services.
  • Preventive services do not apply toward annual maximum benefit.

 

Rates and Payment Info

CHOICE DENTAL PLAN Rates:
$49.00 per Month for Member 
$94.00 per Month for Member plus Spouse 
$104.00 per Month for Member plus Children (same rate up to 5 children)
$138.00 per Month for Family (same rate up to 5 children)

Product Details - schedule of benefits and coverage

$25 co-pay per office visit

Category

Plan Pays

PREVENTIVE CARE

Includes exams, cleanings, sealants, bitewing & full mouth X-rays, and fluoride treatments.

    No waiting period.
    No deductible for Type 1 Services.
    Treatment costs do no apply toward annual benefit max.

100%

BASIC CARE

Includes fillings, x-rays, restorative amalgams & composites.

No waiting period.
$3,000 annual maximum benefit per member or dependent.

80%

MAJOR CARE

Includes oral surgery, endodontics, periodontics, dentures, crowns, bridges, simple tooth extraction, complex extractions, anesthesia, onlays and implants,, and periodontal maintenance.

12 month waiting period on Major Dental benefits.
$3,000 maximum annual benefit per member or dependent on basic and major dental services.

50%

Annual Maximum 
$3,000 maximum annual benefit per member or dependent on basic and major dental services.

$3,000 per person


LOCATE PROVIDER


Effective Dates

Monthly recurring premium rates are as indicated above.

Coverage for enrollment between the 1st - 25th is effective on the first of the following month. Enrollment between the 26th - month end, is effective on the first of the next month.
(I.E. enrollment on January 1 - 25th, is effective on February 1. Enrollment on January 26-31st, is effective on March 1)

Your first payment will be collected from your credit/debit card upon enrollment.

Future payments will be collected on the 25th of each month thereafter, after your effective date.

 

 

Dental FAQ

How much does the coverage cost?

The PREMIER DENTAL PLAN rates are:
$33.00 per Month for Member 
$66.00 per Month for Member plus Spouse 
$74.00 per Month for Member plus Children 
$109.00 per Month for Family

Does My Dental Plan have a waiting period?
There are NO WAITING PERIODS for Preventive and Basic Dental Care!
There is a 12 month waiting period for Major Dental Care.
All benefits begin on your effective date. 

Who is eligible to purchase the plan?

The insurance coverage is available in states where it's approved to anyone age 18 and older. You can request coverage for your dependents; dependent eligibility varies based on state law.

Can I see the dentist I have now?
Yes, you are always free to visit the dentist of your choice. The Ameritas "CLASSIC PPO" network offers more than 300,000 locations nationwide for dental care, which means you benefit from credentialed dentists who offer a discount on services provided. LOCATE PROVIDER

Do I have coverage outside of the state I live in?
Yes, if you are traveling or have a covered dependent living in a different state, you will still have coverage. 

Are my rates guaranteed?
Your rates are guaranteed for 12 months following your plan's effective date. After that, you will receive at least 30 days' notice (more if required by state law) if your rates change.

How do I submit claims?
You or your dentist may submit completed claim forms along with any requested information to the address provided on your member id card. Dentists may submit claims electronically to the contact information provided on your member id card. You may also contact us directly for assistance. 

What if I want to cancel the policy?
All cancelations must be submitted in writing to 

Agentra
Attn: Dental Dept.
15280 Addison Road, Suite 250 
Addison, TX 75001 

OR by calling 800-979-8266. All Cancelation requests will be effective on the next billing period.

What is your refund policy?
You can receive a full refund of the premium paid anytime within the first thirty days of your enrollment date, provided that no insurance claims of any kind have been submitted.

When will I receive my insurance id cards?
Member ID cards are generally shipped within 7-10 business days after your enrollment has been processed. Actual receipt of your id cards may vary, as all id cards are sent via USPS first class mail.

Replacement id cards may be requested by contacting member services at 1-800-979-8266. 

What if I have more questions?
Please contact us at [email protected]

Ameritas Dental - Premier Plan

 

Plan Highlights

  • $3,000 annual maximum benefit.
  • NO WAITING PERIODS for PREVENTIVE & BASIC services.
  • No deductibles for preventive services.
  • Preventive services do not apply toward annual maximum benefit.

 

Rates and Payment Info

CHOICE DENTAL PLAN Rates:
$49.00 per Month for Member 
$94.00 per Month for Member plus Spouse 
$104.00 per Month for Member plus Children (same rate up to 5 children)
$138.00 per Month for Family (same rate up to 5 children)

Product Details - schedule of benefits and coverage

$25 co-pay per office visit

Category

Plan Pays

PREVENTIVE CARE

Includes exams, cleanings, sealants, bitewing & full mouth X-rays, and fluoride treatments.

    No waiting period.
    No deductible for Type 1 Services.
    Treatment costs do no apply toward annual benefit max.

100%

BASIC CARE

Includes fillings, x-rays, restorative amalgams & composites.

No waiting period.
$3,000 annual maximum benefit per member or dependent.

80%

MAJOR CARE

Includes oral surgery, endodontics, periodontics, dentures, crowns, bridges, simple tooth extraction, complex extractions, anesthesia, onlays and implants,, and periodontal maintenance.

12 month waiting period on Major Dental benefits.
$3,000 maximum annual benefit per member or dependent on basic and major dental services.

50%

Annual Maximum 
$3,000 maximum annual benefit per member or dependent on basic and major dental services.

$3,000 per person


LOCATE PROVIDER


Effective Dates

Monthly recurring premium rates are as indicated above.

Coverage for enrollment between the 1st - 25th is effective on the first of the following month. Enrollment between the 26th - month end, is effective on the first of the next month.
(I.E. enrollment on January 1 - 25th, is effective on February 1. Enrollment on January 26-31st, is effective on March 1)

Your first payment will be collected from your credit/debit card upon enrollment.

Future payments will be collected on the 25th of each month thereafter, after your effective date.

 

 

Dental FAQ

How much does the coverage cost?

The PREMIER DENTAL PLAN rates are:
$33.00 per Month for Member 
$66.00 per Month for Member plus Spouse 
$74.00 per Month for Member plus Children 
$109.00 per Month for Family

Does My Dental Plan have a waiting period?
There are NO WAITING PERIODS for Preventive and Basic Dental Care!
There is a 12 month waiting period for Major Dental Care.
All benefits begin on your effective date. 

Who is eligible to purchase the plan?

The insurance coverage is available in states where it's approved to anyone age 18 and older. You can request coverage for your dependents; dependent eligibility varies based on state law.

Can I see the dentist I have now?
Yes, you are always free to visit the dentist of your choice. The Ameritas "CLASSIC PPO" network offers more than 300,000 locations nationwide for dental care, which means you benefit from credentialed dentists who offer a discount on services provided. LOCATE PROVIDER

Do I have coverage outside of the state I live in?
Yes, if you are traveling or have a covered dependent living in a different state, you will still have coverage. 

Are my rates guaranteed?
Your rates are guaranteed for 12 months following your plan's effective date. After that, you will receive at least 30 days' notice (more if required by state law) if your rates change.

How do I submit claims?
You or your dentist may submit completed claim forms along with any requested information to the address provided on your member id card. Dentists may submit claims electronically to the contact information provided on your member id card. You may also contact us directly for assistance. 

What if I want to cancel the policy?
All cancelations must be submitted in writing to 

Agentra
Attn: Dental Dept.
15280 Addison Road, Suite 250 
Addison, TX 75001 

OR by calling 800-979-8266. All Cancelation requests will be effective on the next billing period.

What is your refund policy?
You can receive a full refund of the premium paid anytime within the first thirty days of your enrollment date, provided that no insurance claims of any kind have been submitted.

When will I receive my insurance id cards?
Member ID cards are generally shipped within 7-10 business days after your enrollment has been processed. Actual receipt of your id cards may vary, as all id cards are sent via USPS first class mail.

Replacement id cards may be requested by contacting member services at 1-800-979-8266. 

What if I have more questions?
Please contact us at [email protected]

VSP Vision Preferred Plan

Affordable vision insurance coverage.

No waiting periods. Guaranteed issue. No age or regional pricing schedule. Coverage includes frames, lenses, contact lens, eye exams, and more.

VSP Vision Plan Rates

  • Single Member: $11.00/month
  • Member + Spouse: $20.00/month
  • Member + Children (up to 5): $22.00/month
  • Family: $35.00/month

 


LOCATE PROVIDER

Product Details - schedule of benefits and coverage

 

LENSES (PER PAIR)

  • Single Vision; Bi-focaL; Tri-focaL; Lenticular - covered in full
  • Progressive - See Lens Options
  • Frequencies (months) Exam/Lens/Frames 12/12/24 *based on effective date of service

FRAMES ALLOWANCE

  • In Network $130
  • Out of Network $70
 

LENS OPTIONS (MEMBER COST)*

  • Progressive Lenses Up to provider's contracted fee for lined bifocal lenses. The member is responsible for the difference between the base lens and the Progressive Lens charge.
  • Standard Polycarbonate: $33 / adult | COVERED IN FULL for dependent children
  • Solid Plastic Dye: $15 (except Pink I & II)
  • Photochromatic Lenses glass & plastic: $31 - $82
  • Scratch Resist Coating: $17 - $33
  • Anti-reflective Coating: $43 - $85
  • Ultraviolet Coating: $16
  • LASIK & PRK: see "ADDITIONAL NETWORK FEATURES"
 

CONTACT LENSES

  • Fit & follow up exam - 15% discount
  • Elective - Up to $130
  • Medically necessary - COVERED IN FULL
  • Frequencies (months: Exam / Lens / Frames - 12 / 12 / 24 based on date of service)
 

ADDITIONAL NETWORK FEATURES

  • Contact Lens Elective Allowance includes fitting, exam, and lenses. The cost of the fitting and evaluation is deducted from the cost of the contact lens allowance. Allowance can be applied to disposables, but the dollar amount must be used all at once (3 - 6 month supply). Applies when contacts are chosen in lieu of glasses.
  • Additional Glasses 20% off the retail price on additional pairs of prescription glasses (complete pair).
  • Frequencies (months) Exam/Lens/Frames 12/12/24 *based on effective date of service
  • Frame Discount 20% off the remaining balance in excess of the frame allowance.
  • Laser Vision Care An average discount of 15% on LASIK and PRK. the maximum out of pocket per eye for members is $1800 for LASIK and $2300 for custom LASIK using WaveFront technology; and $1500 for PRK. In order to receive the benefit a network provider must coordinate the procedure.
  • Low Vision With prior authorization, 75% of approved amount (up to $1000 is covered every two years).
 

Rates and Payment Info

  • Monthly recurring premium rates are as indicated above.
  • Coverage for enrollment between the 1st - 25th is effective on the first of the following month. Enrollment between the 26th - month end, is effective on the first of the next month.
    (I.E. enrollment on January 1 - 25th, is effective on February 1. Enrollment on January 26-31st, is effective on March 1)
  • Your first payment will be collected from your credit/debit card upon enrollment.
  • Future payments will be collected on the 25th of each month thereafter, after your effective date.
  • Deductibles - $10 exams | $25 eye glass lenses or frames*.

 

Vision Insurance FAQ

Does My Vision Plan have any waiting periods?
There are NO WAITING PERIODS!
All benefits begin on your effective date. 

When will my policy be effective?
Your effective date is the 1st of the following month, when you enroll in the dental plan between the 1st and 25th of the current month. Enrollment between 26th and the end of the current month, will make your effective date the 1st of the next month thereafter.

EX: Enroll January 1st - 25th : Effective Date February 1st. Enroll January 26th - 31st : Effective Date March 1st.

Who is eligible to purchase the plan?
The insurance coverage is available in states where it's approved to anyone age 18 and older. You can request coverage for your dependents; dependent eligibility varies based on state law.

Can I purchase a vision plan if my employer or health plan does not provide one?
Yes, anyone can take advantage of the Preferred Vision Plan.

Are my rates guaranteed?

Your rates are guaranteed for 12 months following your plan's effective date. After that, you will receive at least 30 days' notice (more if required by state law) if your rates change.

Do I have coverage outside of the state I live in?
Yes, if you are traveling or have a covered dependent living in a different state, you will still have coverage.

How do I submit claims?
You or your doctor may submit completed claim forms along with any requested information to the address provided on your member id card. Doctors and eye care clinics may submit claims electronically to the contact information provided on your member id card. You may also contact us directly for assistance. 

What if I want to cancel the policy?
All cancellations must be submitted in writing to 

Agentra
Attn: Dental & Vision Dept.
15280 Addison Road, Suite 250 
Addison, TX 75001 

OR by calling 800-979-8266. All Cancellation requests will be effective on the next billing period.

What is your refund policy?
You can receive a full refund of the premium paid anytime within the first thirty days of your enrollment date, provided that no insurance claims of any kind have been submitted.

When will I receive my insurance id cards?
Member ID cards are generally shipped within 2-3 business days after your enrollment has been processed. Actual receipt of your id cards may vary, as all id cards are sent via USPS first class mail.

Replacement id cards may be requested by contacting member services at 1-800-979-8266. 

What if I have more questions?
Please contact us at [email protected]