Dental 2000 and 1500:
Dental 2000 and 1500 Dental 2000 Dental 1500 Diagnostic/Preventive 100% 100% Basic Services (restorative) 80% 80% Major 50% 50% Annual Maximum Per Person $2,000 $1,500 Deductible (waived on preventive services) $50 individual / $150 family $25 individual / $75 family Family Orthodontia Lifetime Maximum 50% after $50 deductible $2,000 N/A
Vision:
Vision Administered by VSP VSP Provider Benefits: Eye Exam: Covered at 100% after a $15 copay /once every 12 months Frames: 100% up to $120/once every 24 months Lenses: 100% once every 12 months Contact Lens: 100% up to $200/once every 12 months Non VSP Provider: Eye Exam: Up to $50 paid after $15 copay /once every 12 months Frames: Up to $45/once every 24 months Lenses: Pricing varies depending on lenses (single, bifocal, trifocal) Contact Lens: Up to $200/once every 12 months
Questions about Benefits? :
Questions about Benefits? HR Service Center is here to Assist Email: WAMTREGHRSC@providence.org Phone: 1-888-687-3753, select option 2 Hours: Monday – Friday 6:30 a.m. – 5:00 p.m. (Pacific Time)