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FORMS

DOCTOR

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Dental group plans are a type of dental insurance that provides coverage to a group of individuals, such as employees of a company or members of an organization. These plans are often designed to offer dental coverage at a more affordable rate compared to individual dental insurance plans.

Key features of dental group plans may include:

  1. Coverage Options: Dental group plans can offer various levels of coverage, including preventive care (such as cleanings and exams), basic procedures (like fillings), and major procedures (such as crowns and root canals). The specific coverage offered can vary depending on the plan.

  2. Provider Network: Dental group plans often have a network of dentists and dental specialists who have agreed to provide services at negotiated rates. It's important to check if your preferred dentist is in-network to maximize your benefits.

  3. Cost Sharing: Like other insurance plans, dental group plans typically involve cost-sharing. This includes premiums, deductibles, co-payments, and co-insurance. The cost-sharing structure can vary between plans.

  4. Preventive Care Focus: Many dental plans emphasize preventive care because regular check-ups and cleanings can help prevent more serious dental issues.

  5. Waiting Periods: Some dental plans may have waiting periods before certain procedures are covered. This means you might have to wait a certain period of time before you can receive coverage for certain treatments.

  6. Annual Maximums: Dental plans often have an annual maximum, which is the maximum amount the plan will pay for covered services in a given year.

DENTAL PLANS

HORIZON DENTAL PLANS

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1. Horizon Young Grins A pediatric essential plan that emphasizes prevention and early intervention through routine oral screenings and evaluations. Affordable Care Act (ACA) Compliant

2 Horizon Family Grins & Horizon Family Grins Plus Offers the same quality pediatric coverage as Horizon Young Grins, along with dental coverage for parents or guardians. Horizon Family Grins Plus adds out‑of‑network coverage for members over age 19. Affordable Care Act (ACA) Compliant.

3. Horizon Dental Option Plan (DOP) Provides access to the largest Horizon dental network and includes both in‑ and out‑of‑network benefits

4. Horizon Dental PPO Plan Includes both in- and out-of-network benefits; lowest fees available through our Horizon Dental PPO network.

 

5. Horizon Healthy Smiles & Horizon Healthy Smiles Plus Comprehensive in‑network‑only coverage. Horizon Healthy Smiles Plus includes greater access to the Horizon dental network.

6. Horizon Dental PPO Access Plan & Horizon Dental Companion Plan Lowest fees available when choosing a dentist through our Horizon Dental PPO Network; plans cover preventive and diagnostic at 100%; all other services are at a discount.

OXFORD HEALTH PLANS

OBM℠ Basic Specialty Option

  • Insured preventive dental services (100%) (UnitedHealthcare)

OBM℠ Preferred Specialty Option

  • Insured dental services for preventive, basic and major care services (100%, 50%, 50% MAC) (UnitedHealthcare)

OBM℠ Voluntary Specialty Option

  • Insured dental services for preventive, basic and major care services (100%, 80%, 50% In Network 80%/60%/50% MAC Out of Network) (UnitedHealthcare)

OBM℠ Elite Specialty Option

  • Insured dental services for preventive, basic and major care services (100%, 80%, 50% MAC) (UnitedHealthcare)

OBM℠ Incentive Specialty Option

  • Insured dental services for preventive, basic and major care services (100%, 80%, 50% In Network, 90%/70%,50% UCR Out of Network) (UnitedHealthcare)

OBM℠ Premier Specialty Option

  • Insured dental services for preventive, basic and major care services (100%, 80%, 50% UCR) (UnitedHealthcare)

VISION health plan overview

Vision insurance is designed to help you cover and budget for ongoing vision care expenses like routine eye exams, prescription glasses and contact lenses. You can buy vision plans in addition to your health insurance or even with other supplemental plans, like a dental plan.

VISION PLANS

HORIZON VISION PLANS

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All Horizon Vision plans offer: 

• An annual eye exam, including dilation

• Coverage for eyeglasses and contact lenses

• A higher frame allowance when purchased through Vision works 

• A one-year breakage warranty

The Horizon Vista V plan includes an eye examination for $10. Also coverage for fashion-level frames at no charge, designer level frames with a $15 co-payment, and premier-level frames with $40 copayment. In place of eyeglasses, our plan covers up to $100 for non-collection contact lenses.

The Horizon Panorama V plan includes an eye examination for $10. Also coverage for fashion and designer level frames at no charge, and premier level frames with a $25 co-payment. In place of eyeglasses, our plan covers up to $130 for non-collection contact lenses.

UNITED HEALTHCARE OXFORD DENTAL PLANS

OXFORD HEALTH PLANS

OBM℠ Basic Specialty Option

  • Insured preventive dental services (100%) (UnitedHealthcare)

  • Discounted vision benefits (UnitedHealthcare)

  • Basic employee life (UnitedHealthcare)

OBM℠ Preferred Specialty Option

  • Insured dental services for preventive, basic and major care services (100%, 50%, 50% MAC) (UnitedHealthcare)

  • Insured vision benefits (UnitedHealthcare)

  • Basic employee life (UnitedHealthcare)

OBM℠ Voluntary Specialty Option

  • Insured dental services for preventive, basic and major care services (100%, 80%, 50% In Network 80%/60%/50% MAC Out of Network) (UnitedHealthcare)

  • Insured vision benefits (UnitedHealthcare)

OBM℠ Elite Specialty Option

  • Insured dental services for preventive, basic and major care services (100%, 80%, 50% MAC) (UnitedHealthcare)

  • Insured vision benefits (UnitedHealthcare)

  • Basic employee life (UnitedHealthcare)

OBM℠ Incentive Specialty Option

  • Insured dental services for preventive, basic and major care services (100%, 80%, 50% In Network, 90%/70%,50% UCR Out of Network) (UnitedHealthcare)

  • Insured vision benefits (UnitedHealthcare)

  • Basic employee life (UnitedHealthcare)

OBM℠ Premier Specialty Option

  • Insured dental services for preventive, basic and major care services (100%, 80%, 50% UCR) (UnitedHealthcare)

  • Insured vision benefits (UnitedHealthcare)

  • Basic employee life (UnitedHealthcare)

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