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Update on Dental & Vision  October 17, 2002
Options <ul><li>Current Plan – Ameritas  </li></ul><ul><ul><li>Proposals were received from:  Ameritas, United, Paragon, S...
Current Plan vs. Paragon *College Cost=$9.64  ** College Cost=$10.28  ***College Cost=$9.50 $55.44 $35.52 $35.96 $16.04 Am...
Plan Design Comparisons Link to Full Comparison  & Providers on DMO 40% Cost Set fee amount paid (small) Major Yes No Visi...
Ameritas High vs Paragon Pref PPO Link to Preferred Providers List 50%/  35%  UCR 50% UCR Major Yes No Vision Discounts In...
Ameritas High vs Paragon Select No No Vision Discounts Included 6 months for ee’s with no prior coverage None Waiting Peri...
Out of Pocket Comparison of Paragon Plans
Vision Discounts on Paragon Dental Premium and Preferred Plans Present your ID card or Member ID number to a Participating...
Vision Discounts on Paragon Dental Premium and Preferred Plans Below is an example of The Paragon Discount Vision pricing....
Current Plan vs. 20/20      ( www.2020eyecareplan.com) $10.38 N/A 2 Person $17.10 $18.60 Family $5.75 $6.50 Single 20/20 P...
Vision Benefits Comparison 20/20 Providers in Florida *Providers can be successfully recruited prior to effective date N/A...
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[ ] DentalVision03.ppt

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Transcript of "[ ] DentalVision03.ppt"

  1. 1. Update on Dental & Vision October 17, 2002
  2. 2. Options <ul><li>Current Plan – Ameritas </li></ul><ul><ul><li>Proposals were received from: Ameritas, United, Paragon, Shenandoah, Delta </li></ul></ul><ul><ul><li>United and Shenandoah and Delta too high </li></ul></ul><ul><ul><li>Paragon (www.paragondental.com) & Ameritas remain </li></ul></ul>
  3. 3. Current Plan vs. Paragon *College Cost=$9.64 ** College Cost=$10.28 ***College Cost=$9.50 $55.44 $35.52 $35.96 $16.04 Ameritas Renewal High Plan $27.24 $17.48 $9.76 $0.00** Ameritas Renewal Low Plan $55.50 $40.10 $28.90 $12.00 Paragon Pref PPO $72.50 $44.42 $36.50 $16.75 Paragon Select Indemnity $33.54 $9.25 $ 9.12 EE + SP $51.88 $24.80 $25.48 Family $33.24 $15.60 $16.36 EE +CH $15.00 $0.00*** $0.00* Single Current Ameritas High Plan Paragon Premium Plan-HMO Current Ameritas Low Plan
  4. 4. Plan Design Comparisons Link to Full Comparison & Providers on DMO 40% Cost Set fee amount paid (small) Major Yes No Vision Discounts Included Cleanings, exams, x rays Cleanings and exams Preventative Fillings, steel crowns, Perio, root X-rays, fillings, oral surgery Basic Por crowns, inlays, dentures, bridges Endo, root canal, perio crowns Major 100% amalgam, 50% Cost all other 100% Cost 25% discount 280-All None None None Yes 28 Orange, 4 Brevard, 16 Seminole Set fee amount paid (small) Basic 100% UCR Preventative None Orthodontics 181 # ADA Procedures Covered Yes Limitations & Exclusions $1,000 Maximum Benefit $75 waived for prev Deductible per person per year No-If network provider used then out of pocket costs are reduced Providers Must Be In Network Paragon Premium DMO Ameritas Low Plan
  5. 5. Ameritas High vs Paragon Pref PPO Link to Preferred Providers List 50%/ 35% UCR 50% UCR Major Yes No Vision Discounts Included 80%/ 50% UCR 100% / 100% UCR 25% discount Porcelain crowns, inlays, dentures, bridges Fillings, steel crowns, Perio, root canal Cleanings, exams, x rays $1,000 $50 waived-prev& diag No- If network provider used then out of pocket costs are reduced 31 Orange, 4 Brevard, 16 Seminole Cleanings and exams Preventative X-Rays, Fillings, oral surgery Basic Endo, root canal, perio crowns Major 80% UCR Basic 100% UCR Preventative None Orthodontics $1,000 Maximum Benefit $75 waived for prev Deductible/person/ year No- If network provider used then out of pocket costs are reduced Providers Must Be In Network Paragon Preferred PPO Ameritas High Plan
  6. 6. Ameritas High vs Paragon Select No No Vision Discounts Included 6 months for ee’s with no prior coverage None Waiting Periods- Major Procedures 50% UCR 50% UCR Major Cleanings, exams, x rays Cleanings and exams Preventative Fillings, steel crowns, root canal X-Rays, fillings, oral surgery Basic Endo, Perio, porcelain crowns, inlays, dentures, bridges Endo, root canal, perio crowns Major 80% UCR 100% UCR 25% discount $1,000 $75/$225 waived-prev Any dentist 80% UCR Basic 100% UCR Preventative None Orthodontics $1,000 Maximum Benefit $75 waived for prev Deductible per person per year No- If network provider used then out of pocket costs are reduced Providers Must Be In Network Paragon Select Ind Ameritas High Plan
  7. 7. Out of Pocket Comparison of Paragon Plans
  8. 8. Vision Discounts on Paragon Dental Premium and Preferred Plans Present your ID card or Member ID number to a Participating Provider and you realize a significant savings without the hassle of claims and co-payments. Below is a brief description of the benefits available under the Discount Vision program: Your Discount Vision Benefits The Discount Vision Pricing Routine Vision Examination 80% of UCR not to exceed $45 Standard Single Vision Lenses $35 Standard Bifocal Lenses $50 Standard Trifocal Lenses $65 Standard Progressive Lenses $105 Frames Wholesale** + 40% ** As recognized by FRAMES Magazine, a publication distributed to eyewear dispensing locations nationwide Contact Lenses Wholesale pricing on contact lenses + Professional Fitting fees Additional Lens Options 20-60% savings according to Avesis fixed discounted fees
  9. 9. Vision Discounts on Paragon Dental Premium and Preferred Plans Below is an example of The Paragon Discount Vision pricing. To find a Participating Vision Provider in your area www.paragondental.com.   *** Your average savings realized may be more or less depending on your choice of frames and lenses. Discount Vision Benefit Utilized Average Retail Price Discount Vision Price Savings Realized*** Routine Exam $60.00 $40.00 $20.00 Standard Single Vision Lenses $69.00 $35.00 $34.00 Frame (Fossil brand, Pluto style) $150.00 $70.00 $80.00   TOTAL: $279.00      TOTAL: $145.00 TOTAL: $134.00***
  10. 10. Current Plan vs. 20/20 ( www.2020eyecareplan.com) $10.38 N/A 2 Person $17.10 $18.60 Family $5.75 $6.50 Single 20/20 Plan Current Vision Care Plan
  11. 11. Vision Benefits Comparison 20/20 Providers in Florida *Providers can be successfully recruited prior to effective date N/A discounts discounts Lasik Surgery 22 Brevard, 29 Orange, 11 Seminole 22 Brevard, 29 Orange, 11 Seminole 37 Brevard, 96 Orange, 44 Seminole Providers $119 allowance(not include exam) 100% after $10-$85 copay $10.00 $4.00 12/12/12/12 $105 allowance (includes exam) 100% within frame allowance $15.00 $10.00 12/12/24/12 50% discount 60% discount $35.00-$65.00 $45.00 With Preferred PPO Dental Contact Allowance Frame Coverage Lense Co-Pay Exam Co-Pay In Network Frequency Exam/Lenses/Frames/Cont W/DMO & Pref PPO Dental 20/20 Current Vision
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