Page 8 - MMI Benefit Guide 2018 FINAL

Benefits

Finding a Dental Provider
For Sun Life’s “Find a Dentist” website, select a plan/network from the drop-down for one of the following:
• Assurant SunLife Dental DHMO = DHMO/Prepaid Dental Plan for AZ, FL, IL, NJ, OH, PA, TX is Heritage Series, CO, UT,
WI is Legend Series, CA is CA UDC Prepaid and GA is Georgia Prepaid. Go to www.assurantemployeebenefits.com or
call (800) 443-2995.
• Assurant SunLife Dental DHMO = DHMO/Prepaid Dental Plan for NY is Heritage Series. Go to
www.assurantemployeebenefits.com or call (800) 443-2995.
• Assurant SunLife Dental PPO = PPO Plan is Assurant Dental Network. Go to
www.assurantemployeebenefits.com or call (800) 442-7742.

* Benefit summary is available on the ADP Employee Self-Service.

Vision Insurance

SIPs are not eligible for this coverage

Sun Life/VSP | Vision Plan
The Sun Life vision plan provides professional vision care and high quality lenses and frames through a broad network of optical
specialists. You will receive richer benefits if you utilize a network provider. If you utilize a non‐network provider, you will be
responsible to pay all charges at the time of your appointment and will be required to file an itemized claim with Sun Life.

Sun Life
Plan Features Vision

Network Name VSP Network Non-Network
Vision Benefits

Copay
- Examination $25 Copay N/A
- Materials $25 Copay N/A

Examination (Every 12 Months) 100% $52 Benefit
Lenses (Every 12 Months)
- Single Vision 100%, after copay $55 Benefit
- Bifocal 100%, after copay $75 Benefit
- Trifocal 100%, after copay $95 Benefit
- Lenticular 100%, after copay $125 Benefit

Frames( Every 12 Months) $130 Benefit, $57 Benefit
Then 20% Discount
Contact Lenses (Every 12 Months) In Lieu of Frames and Lenses

- Cosmetic / Elective $130 Benefit $105 Benefit
Laser Vision Correction Discounts Apply Not Covered

Note
Sun Life utilizes the VSP network, the largest network of private-practice eye care doctors in the industry. VSP’s network includes
37,000 access points nationwide. Most of the U.S. population lives within four miles of a VSP provider.

Finding a Vision Provider
Go to www.vsp.com or call (800) 877-7185.

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