Dental, Vision, and Hearing Insurance
Product Highlights
- Choose your dentist – No Networks
- Family Rates (includes a maximum of 3 children)
- Individual 18 – 75
- $1,000 – $1,500 policy year benefit option available
Guaranteed Issue - Guaranteed renewable to age 80.*
* Subject to our right to change premiums.
Vision Coverage
| Basic eye exam or eye refraction, including the cost of eye glasses or contact lenses | Year 1 - 60% Year 2 - 70% Year 3 and thereafter - 80% |
| Waiting Period | 6 months on eyeglasses and contact lenses |
| *In OH, year 3 and thereafter is 70% | |
Hearing Coverage
| Exam, hearing aid and necessary repairs or supplies | Year 1 - 60% Year 2 - 70% Year 3 and thereafter - 80% |
| Waiting Period | 12 months new hearing aids and existing hearing aid repairs |
| *In OH, year 3 and thereafter is 70% | |
Plan Benefits
Eligibility | Anyone age 18-75 |
Policy Year Maximum Benefit | $1,000 or $1,500 (choose one) |
Policy Year Deductible | $100 per person |
Dental Coverage |
|
| Preventative Services Semi-Annual exams, cleaning and x-rays. | Year 1 - 60% Year 2 - 70% Year 3 and thereafter - 80%* |
| Waiting Period | None |
| *In OH, year 3 and thereafter is 70% | |
| Basic Services Including x-ray (other than "full mouth"), fillings and extractions | Year 1 - 60% Year 2 - 70% Year 3 and thereafter - 80%* |
| Waiting Period | None |
| *In OH, year 3 and thereafter is 70% | |
| Major Services Including bridges, crowns, full dentures or partials, full mouth extractions, and root canals | Year 1 - 0% Year 2 - 70% Year 3 and thereafter - 80%* |
| Waiting Period | 12 months |
| *In OH, year 3 and thereafter is 70% | |
The Importance of Dental • Vision • Hearing
- Quality of Life
- Unforeseen situations that are painful, inconvenient and expensive
- Basic Medicare does not cover dental, vision or hearing expenses.
RATE CHART
Premiums are subject to change. Premium rates based on $1,000 or $1,500 Policy Year Maximum. Use the age of the oldest applicant. Benefit exclusions and limitations apply.
Family rates include up to three children. Additional children are charged the age 3-17 rate per person.
| $1,000 Policy Year Maximum | |
| $1,500 Policy Year Maximum | |
$1,000 Policy Year Maximum
| INDIVIDUAL MONTHLY PREMIUM | |
| Age | Premium |
| 18 - 39 | $25.00 |
| 40-54 | $27.00 |
| 55-64 | $29.00 |
| 65 - 75 | $31.00 |
| FAMILY MONTHLY PREMIUM | |
| 18 - 39 | $80.00 |
| 40-54 | $84.00 |
| 55-64 | $88.00 |
| 65 - 75 | $92.00 |
$1,500 Policy Year Maximum
| INDIVIDUAL MONTHLY PREMIUM | |
| Age | Premium |
| 18 - 39 | $33.00 |
| 40-54 | $35.00 |
| 55-64 | $38.00 |
| 65 - 75 | $41.00 |
| FAMILY MONTHLY PREMIUM | |
| 18 - 39 | $105.58 |
| 40-54 | $109.58 |
| 55-64 | $115.58 |
| 65 - 75 | $121.58 |
CALL 877-600-0725
Just a simple phone call can get you coverage today. Everything done right over the phone. Call for more details!