D E N T A L A N D V I S I O N P L A N S
Individuals Families Self Employed
Vantage Point Benefits Customer Service 888-422-1995 231 East 400 South, Suite 370Salt Lake City, UT 84111 New Business 801-363-9577 Toll Free 877-363-9577Fax 801-983-8009
www.vpdental.com
LIMITATIONS AND EXCLUSIONS: The information contained herein is intended as an easy-to-read summary. Additional limitations and exclusions may apply to covered services. In the event of inconsistencies with insurers certificate, the certificate will control. This is not a contract and is not intended to serve as required legal notification. ©VANTAGE POINT INC.
8-1-2018
Emphasis On Preventive Care.Individuals with dental plans are more likely to seek regular dental care that can help prevent future costly and painful treatment. Vantage Point Benefits’ mission is to provide dental plans that emphasize preventive and diagnostic care. Good dental health is essential to your overall well-being, and you now have access to quality care at a price you can afford. These plans have been designed to help you maintain optimal dental health.
Vantage Care provides you with immediate access to all plan benefits. There are no waiting periods, deductible or maximums.
Vantage Choice gives you the freedom to choose any dentist. The plan covers preventive and Basic care immediately. Discounts while in waiting period for major services.
Freedom to Choose
Immediate Care
What matters most to you about Dental Insurance?
Your Dental Health
Vantage Point offers unique plan designs and are among the most affordable options available in the market today.
Low Monthly Cost
Opticare In-Network Only Plan
Monthly Annually x 12 Single: $7.78 $7.00 - $84.00Two Party: $15.25 $13.73 -$164.76Family: $25.99 $23.39 -$282.68
Plan 10-150 Select
1901 West Parkway Blvd. SLC, 84119 - opticareofutah.com - (801) 869-2020 - Fax: (801) 954-0054
Individual Plan Standard Optical Select Network only
Eyeglass Exam $10.00 Co-pay EYE EXAM
LENSES Contact Fitting 100% CoveredRoutine Dilation 100% CoveredContact Exam $10.00 Co-pay
LENS OPTIONSTrifocal (FT 7*28) 100% CoveredBifocal (FT 28) 100% CoveredSingle Vision 100% Covered
Progressive (Standard no-line) $30 Co-pay
COATINGS
Poly carbonate $40 Co-payGlass Lenses 15% DiscountPremium Progressive Options Up to 20% Discount
High Index $80 Co-pay
A/R edge polish, tints, mirrors, etc.Other Options Up to 25% DiscountUltra Violet Protection 100% CoveredScratch Resistant Coating 100% Covered
FRAMES
Additional Pairs of Glasses Throughout the Year Up to 50% DiscountAllowance Based on Retail Pricing $150 Allowance
CONTACTS
*** Disposables Up to 10% Discount*** Conventional Up to 20% DiscountAdditional Contact Purchases Contact Benefit is in Lieu of Lens and Frame Benefit $150 Allowance
FREQUENCY Exam, Lenses, Frames, Contacts Every 12 MonthsREFRACTIVE SURGERY ****LASIK $250 Off Per Eye
Discount - Any item listed as a discount is a merchandise discount, not and insured benefit. Discounts vary by provider, see provider for details.*** Must purchase full year supply to receive discount on select brands. See provider for details.**** LASIK (Refractive Surgery) Standard Optical ONLY. LASIK services are not insured benefit; this is a discount only. All pre & post operative care is provided by Standard Optical and is based on Standard Optical retail fees.Out of Network - May not be combined with promotional items. Online purchases at approved providers only. For more information please visit www.opticareofutah.com or call 801-869-2020 or toll free 800-363-0950.
©VANTAGE POINT INC. ©VANTAGE POINT INC.
· Freedom to choose any dentist· 20 – 30% discount during waiting period · Over 3200 dental providers
· Fixed reimbursement for all dental services· Lower rates on services from in-network providers
· No waiting periods· No deductible· No annual or lifetime maximums
· Fixed co-payments for all dental services· Over 1600 dental providers
A comprehensive plan consisting of well established network dentists.
A fully insured plan that allows for both in and out-of-network benefits.
Vantage Choice – PPO INDEMNITY Plan
Vantage Care – CO-PAYMENT PLAN
Plan Highlights and Features
Why buy dental insurance?
Opticare PPO Plan
Monthly AnnuallySingle: $11.21 $10.08 - 120.96Two Party: $21.91 $19.77 - 237.24Family: $33.07 $29.76 - 357.12
Plan 15-150B
1901 West Parkway Blvd. SLC, 84119 - opticareofutah.com - (801) 869-2020 - Fax: (801) 954-0054
Individual Plan In- Network Out-of-Network
Eyeglass Exam EYE EXAM
LENSES Contact Fitting Routine Dilation Contact Exam
LENS OPTIONSTrifocal (FT 7*28) Bifocal (FT 28) Single Vision
COATINGS
A/R edge polish, tints, mirrors, etc.Other Options Ultra Violet Protection Scratch Resistant Coating
FRAMES
Additional Pairs of Glasses Throughout the Year Allowance Based on Retail Pricing
CONTACTS
*** Disposables *** Conventional Additional Contact Purchases Contact Benefit is in Lieu of Lens and Frame Benefit
FREQUENCY Exam, Lenses, Frames, Contacts REFRACTIVE SURGERY ****LASIK
Discount - Any item listed as a discount is a merchandise discount, not and insured benefit. Discounts vary by provider, see provider for details.*** Must purchase full year supply to receive discount on select brands. See provider for details.**** LASIK (Refractive Surgery) Standard Optical ONLY. LASIK services are not insured benefit; this is a discount only. All pre & post operative care is provided by Standard Optical and is based on Standard Optical retail fees.Out of Network - May not be combined with promotional items. Online purchases at approved providers only. For more information please visit www.opticareofutah.com or call 801-869-2020 or toll free 800-363-0950.
$15 Co-Pay *$35 Allowance $15 Co-Pay *$35 Allowance 100% Covered Included Above Retail Included Above
$10 Co-pay *$80 Allowance $10 Co-pay For lenses, Options $10 Co-pay and coatings
Progressive (Standard no-line)
Poly carbonate Glass Lenses Premium Progressive Options
High Index
$50 Co-payUp to 20% Discount 15% Discount25% Discount 25% Discount
$10 Co-pay$10 Co-pay Up to 25% Discount
$150 Allowance *80 AllowanceUp to 50% Discount
$150 Allowance *$80 Allowance
Up to 20% DiscountUp to 10% Discount
Every 12 Months Every 12 Months
$250 off Per Eye Not Covered
There is no universal answer to the question, should I buy dental insurance? Everyone has a diffrent financial, physical and oral health situation. Therefore, when making this important decision here are some issues to consider.It might save your life: There are over 120 medical conditions that can be detected early by a dental exam. The dentist is often the first healthcare provider to diagnose such health problems as: cancer, osteoporosis, diabetes, heart disease, stress, tuberculosis, HIV, digestive disorders and more.
Providers peace of mind: It feels great to know that you have done all you can to protect your physical and financial future and that of your family. This provides great peace of mind, and that’s not something that can be measure in dollars and cents.
It will save you money: People that own dental insurance are more likely to see their dental provider. It is also much cheaper in the long run to get regular dental care and avoid more extensive, expensive and serious problems down the road.
Summary of Benefits
Vantage CareTDA DHMO / Co-Payment Plan(b)
In-Network Only
PreventiveOffice visit, cleaning, oral exam and x-rays
100%after $20 co-pay(*)
Basic Simple extractions and fillings
60-80%(d)average savings(*)
MajorCrowns, bridges, dentures, inlays, periodontics, endodontics and oral surgery
40-60%(d)average savings(*)
Orthodontics 15-25% discountWaiting Periods NoneDeductible None
Annual Maximum None
Additional Information
20% discount on specialist services: Periodontist, Endodontist, Prosthodontist, pediatrics and Oral Surgeon. DHMO Network (executive plan)
Payment Method Monthly
All plans allow monthly payments by Visa, Master Card, Discover or automatic bank account withdrawals.
There is a one-time enrollment fee of $10.00 for all new applications. All applications received before the 18th of the month start on the 1st of the following month. For plan information visit: www.vpdental.com
Single $18.85
Two Party $37.65
Family $60.80
Vantage ChoiceTDA dentalCOMPANION PPO / INDEMNITY PLAN (a)
In-Network Only / Out-of-Network
80 - 100% average savings (*) (d) (c)
70 - 80% average savings (*) (d) (c)
40 - 60% average savings (*) (d) (c)
25% discount at participating TDA Providers / No Out of Network Benefits
12 month waiting period on major services$50 per person per calendar year for basic and major services
$1,000 per subscriber
dentalCOMPANION PPO / INDEMNITY PLAN (c) This percentage is based on and average savings please see plan certificate for reimbursement amount and about the plans benefits. TDA PPO Network
Monthly Monthly Rate Over Age 65+Single $37.96 $45.55
Two Party $73.04 $86.70
Family $119.72 $134.22
For more information on the TDA DHMO Vantage Care plan benefits, you can visit us online at www.vpdental.com and download our plan certificate.
TDA PPO / Vantage Choice is a defined reimbursement plan, that puts you as the consumer in the driver’s seat. How the plan works, we provide you with a set dollar amount per procedure. This amount minus our contracted rate that we have set with the in-network dentist will provide you with your reimbursements. If you go out of network please remember, the plan does give you some reimbursement. However you do not receive the discounted contracted rate that we have set up with our in-network dentist, and also do not forget the dentist can balance bill for the difference. Minimum enrollment age is 18, unless accompanied by an adult.
Minimum enrollment age is 18, unless accompanied by an adult.
TDA / Vantage Choice Plan insured by Companion Life Insurance Company. (b) Vantage Care Plan insured and underwritten by
Total Dental Administrators. For complete fee schedule please refer to the plan certificate (c) This percentage is based on and average savings please see plan certificate for reimbursement amount see the plan certificate for more information. (*) see co-
pay schedule. PPO reimbursement , see the Mid-Plan co-pay on the plan certificate. (d) All payments made by the plan are based on the network fee schedule TDA PPO network / DHMO network. For complete details of the coverage please refer to the plan
certificate. Plans may vary by state. ©VANTAGE POINT INC.
Top Related