Dental/Vision
Dental Benefits
Ingenovis Health offers a dental insurance plan through Delta Dental of Colorado.
The dental plan provides in- and out-of-network benefits, allowing you the freedom to choose any dentist. The amount you pay varies based on whether you see a Delta Dental PPO dentist, Delta Dental Premier dentist, or out-of-network (non-participating) dentist. Locate a Delta Dental network provider at deltadentalco.com/dentist-search.html
You will pay less out of your pocket when you see a Delta Dental PPO dentist.
Delta Dental PPO and Premier dentists file claims directly with Delta Dental and accept Delta Dental’s reimbursement in full for covered services. When you see a PPO or Premier dentist, you will only be responsible for your deductible and coinsurance for covered services. Non-covered services are subject to balance billing.
If you choose to see an out-of-network dentist, you will incur additional out-of-pocket expenses, and you will be billed the total amount the dentist charges (balance billing).
When you see a Delta Dental PPO or Premier dentist, you are protected from balance billing for covered services.
The table below summarizes key features of the dental plan. The coinsurance amounts listed reflect the amount you pay. Please refer to the official plan documents for additional information on coverage and exclusions.
Summary of Covered Benefits | Delta Dental PPO PPO Dentist | Delta Dental PPO Premier Dentist | Delta Dental PPO Non-Participating Dentist |
|---|---|---|---|
Plan Year Deductible Individual/Family | $50 / $150 | $50 / $150 | $50 / $150 |
Plan Year Benefit Maximum | $1,500 | $1,000 | $1,000 |
Preventive Care (Oral exams, cleanings, x-rays) | Plan pays 100% | 20% (ded. waived) | 20% (ded. waived) |
Basic Services (Periodontal services, endodontic services, oral surgery, fillings) | 20% after ded. | 40% after ded. | 40% after ded. |
Major Services (Bridges, crowns [inlays/onlays], dentures [full/partial]) | 50% after ded. | 60% after ded. | 60% after ded. |
Orthodontia Services (children up to age 19) | 50% | 50% | 50% |
Orthodontia Lifetime Maximum | $1,000 | $1,000 | $1,000 |
Dental Cost
Listed below are the monthly costs for dental insurance. The amount you pay for coverage is deducted from your paycheck on a pre-tax basis, which means you don’t pay taxes on the amount you pay for coverage. Please note that we use 48 pay periods for benefit deductions.
Level of Coverage | Delta Dental PPO |
|---|---|
Employee only | $27.19 |
Employee + Spouse | $54.38 |
Employee + Child(ren) | $64.95 |
Employee + Family | $97.17 |
Even if you have the perfect vision, an annual eye exam is important
Just by examining your eyes, a doctor can find warning signs of high blood pressure, diabetes, and more than 200 other major diseases.
Vision Benefits
Ingenovis Health offers a vision insurance plan through EyeMed.
You have the freedom to choose any vision provider. However, you will maximize the plan benefits when you choose a network provider. Locate an EyeMed network provider at eyemed.com
The table below summarizes key features of the vision plan. Please refer to the official plan documents for additional information on coverage and exclusions.
Summary of Covered Benefits | EyeMed Vision Plan In Network | EyeMed Vision Plan Out of Network |
|---|---|---|
Eye Exam (Every 12 months) | $10 copay | Reimbursement up to $40 |
Standard Plastic Lenses (Every 12 months) | $10 copay | Reimbursement up to $30/$50/$70 |
Frames (Every 24 months) | $130 allowance, 20% off remaining balance | Reimbursement up to $91 |
Contact Lenses | $110 allowance | Reimbursement up to $77 |
Contact Lenses | Plan pays 100% | Reimbursement up to $300 |
Laser Vision Correction | 15% off retail price or 5% off promotional price | 15% off retail price or 5% off promotional price |
Vision Cost
Listed below are the monthly costs for vision insurance. The amount you pay for coverage is deducted from your paycheck on a pre-tax basis, which means you don’t pay taxes on the amount you pay for coverage. Please note that we use 48 pay periods for benefit deductions.
Level of Coverage | |
|---|---|
Employee only | $5.94 |
Employee + Spouse | $14.39 |
Employee + Child(ren) | $15.06 |
Employee + Family | $19.81 |