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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 370 Salt Lake City, UT 84111 New Business 801-363-9577 Toll Free 877-363-9577 Fax 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. 1-1-2019

1-1-2019 · Salt Lake City, UT 84111 ... Crowns, bridges, dentures, inlays, periodontics, endodontics and oral surgery 40-60%(d) average savings(*) Orthodontics 15-25% discount Waiting

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Page 1: 1-1-2019 · Salt Lake City, UT 84111 ... Crowns, bridges, dentures, inlays, periodontics, endodontics and oral surgery 40-60%(d) average savings(*) Orthodontics 15-25% discount Waiting

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.

1-1-2019

Page 2: 1-1-2019 · Salt Lake City, UT 84111 ... Crowns, bridges, dentures, inlays, periodontics, endodontics and oral surgery 40-60%(d) average savings(*) Orthodontics 15-25% discount Waiting

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.

Page 3: 1-1-2019 · Salt Lake City, UT 84111 ... Crowns, bridges, dentures, inlays, periodontics, endodontics and oral surgery 40-60%(d) average savings(*) Orthodontics 15-25% discount Waiting

· 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.

Page 4: 1-1-2019 · Salt Lake City, UT 84111 ... Crowns, bridges, dentures, inlays, periodontics, endodontics and oral surgery 40-60%(d) average savings(*) Orthodontics 15-25% discount Waiting

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 $39.50 $47.40

Two Party $75.95 $90.20

Family $124.50 $139.60

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.