Individuals
Couple
Family
Enrollment Fee
Monthly Premiums
Individuals
: $15
Couple
: $25
Family
: $39
Enrollment Fee: $16
Annual Premiums
Individuals
: $180
Couple
: $300
Family
: $468
Enrollment Fee: Waived
Best Choice Dental/Vision
Protect your eyes and your teeth with cost-effective coverage for individuals and families.
Annual Co-Payment
Complete Eye Exam
Standard Single Vision Lenses
Lined Bi-Focals
Lined Tri-Focals
Generic Progressive Lenses
Thin Lenses
Tint #1 Plastic Lenses Only
Scratchcote
Frames
Contact Lenses
LASIK
Additional Benefits
Vision Benefits
Annual Co-Payment
: N/A
Complete Eye Exam
: $36
Standard Single Vision Lenses
: $42
Lined Bi-Focals
: $55
Lined Tri-Focals
: $79
Generic Progressive Lenses
: $139
Thin Lenses
: -20% UCR
Tint #1 Plastic Lenses Only
: No Charge
Scratchcote
: $22
Frames
: -25% UCR
Office Visit
Oral Exam
X-Rays
Porcelain Crown
Cleaning
Ant. Root Canal (EFR)
Amalgam One Surface Filling
Denture Upper or Lower
Other Dental Procedures
Dental Benefits
Office Visit
: $5
Oral Exam
: No Charge
X-Rays
: No Charge
Porcelain Crown
: $275
Cleaning
: No Charge
Ant. Root Canal (EFR)
: $125
Amalgam One Surface Filling
: $10
Denture Upper or Lower
: $350