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Dental Insurance Delta Dental Vision Insurance Anthem
Option 1 | Base Plan Option 1 | Essential Plan
Annual Deductible $50 per person Basic Exam $10 copay
Annual Maximum $1,500 excluding orthodontia
Frames $130 allowance
Orthodontia 50% no deductible once every 24 months 20% discount
child – age 19 up to $1,000 lifetime max
Standard Plastic Lenses
Preventive Services 100% no deductible includes single, bifocal & trifocal $25 copay
Basic Services 80% after deductible Contact Lenses
Conventional $130 allowance
Major Services 50% after deductible once every 12 months 15% discount
Option 2 | Enhanced Plan Option 2 | Enhanced Plan
Annual Deductible $25 per person Basic Exam $0 copay
Annual Maximum $2,000
Frames $160 allowance
Orthodontia 50% no deductible once every 12 months 20% discount
adult/child up to $2,000 lifetime max
Standard Plastic Lenses
Preventive Services 100% no deductible includes single, bifocal & trifocal $10 copay
Basic Services 90% after deductible Contact Lenses
Conventional $160 allowance
Major Services 70% no deductible once every 12 months 15% discount
Monthly Dental Insurance Costs Monthly Vision Insurance Costs
Base Enhanced Essential Enhanced
Dental Dental Vision Vision
Associate Only $17.59 $30.16 Associate Only $5.88 $15.41
Associate/
Associate/Child(ren) $47.75 $67.86 $11.75 $30.78
Child(ren)
Associate/Spouse $37.70 $55.29 Associate/Spouse $11.17 $29.25
Associate/Family $72.89 $100.53 Associate/Family $17.30 $45.30
