Dental plan
Contact lens exam (fitting and evaluation) at up to $60 copay; Every calendar year; VSP Diabetic Eyecare Plus Program. Retinal screenings for members with diabetes at $0 copay; Additional exams and services for members with diabetic eye disease, glaucoma, or age-related macular degeneration at $20 per exam copay. ©1996-Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.We provide health insurance in Michigan.
Your dental coverage, through Delta Dental of Washington, encourages regular preventive care, helps you maintain healthy teeth and gums, and helps you pay for a broad range of other dental services when treatment is needed.
- Save with VSP Coverage Without VSP Coverage With VSP Standard Option; Eye Exam: $185: $10 Copay: Frame ($160 allowance.) $160: $20 Copay: Single Vision Lenses: $99: Anti-glare Coating: $146: $85: Impact-resistant Lenses: $58: $0: Light-reactive Lenses: $126: $70: Self-only Annual Premium (Pre-tax for Employees) N/A: $91.32: Total Cost for Service: $774: $276.32.
- Average 15% off or 5% off VSP Laser Vision Care. Covers full prescription lenses. Created with Sketch. Covers ALL Lens Enhancements with a copay, saving 40%. on average. Created with Sketch. $130 retail allowance towards Frames; 20% off any amount over. Give your clients and their employees what they want—Consumers' #1.
- Any time you have questions about your VSP ® vision plan copays or your insurance plan in general, you can speak with our knowledgeable customer service team at 800.785.0699. Our service center is open Monday through Friday from 7a.m. We’re happy to do what we can to help you make the most of your VSP vision insurance!
Most dentists in Washington participate in a Delta Dental network and the chart below shows what you will pay when you see a network dentist.
Your dental covers diagnostic and preventive services at 100%. For restorative services and crowns, the benefit plan increases what it pays through an incentive program. As long as you see a dentist at least once per year for a covered service, your benefit level increases each year until you reach the highest incentive level.
| Delta Dental Plan Feature (In Network) | Member Pays |
| Annual Deductible | $25 person / $75 family |
| Annual Maximum Benefit | $2,500 per person |
| Preventive Services (exams, cleanings, x-rays, fluoride*, sealants) | 0%** |
| Basic Services (fillings, stainless steel crowns, endodontics, periodontics, removal of teeth, oral surgery) | 0 – 30% |
| Crowns other than stainless steel | 15 – 30% |
| Major Services (dentures, partials, bridges, implants***) | 30% |
| Orthodontia (lifetime max $2,500/person), TMJ and occlusal guard | 50% |
** Deputy Sheriff plan members pay 0 – 30% for preventive services.
*** Implants covered on Regular and Transit ATU 587 dental plans only.
Delta Dental does not use ID cards. For plan details, see Benefits Summaries.
Delta Dental contact information
Policy #s: Regular 0152-30050, Transit 0037-0001(Full-time full benefits and part-time full benefits) and 0152-30030 (Part-time partial benefits), Sheriff 0285-00000
Phone: 866-229-4102
Email:Delta Dental
Web:Delta Dental
Claims: Delta Dental of Washington, P.O. Box 75983, Seattle, WA 98175-0983
Vision plan
Your vision benefits, through Vision Service Plan (VSP), make it easy for you to get the eye care you need.
You may use any eye care provider you want, but if you see a VSP provider, your out-of-pocket expenses are generally lower and the provider automatically files your claim. Kaiser Permanente provides routine vision exams under its medical plan, but none of the other vision benefits, such as frames, lenses, and contacts.
| VSP Plan Feature (In Network) | Member Pays |
| Eye Exam (every 12 months) | $10 copay |
| Lenses: Single, Bifocal, Trifocal (every 12 months) | $0 |
| Frames (every 24 months) | $200 allowance* + 20% off balance |
| Contact Lenses (every 12 months in lieu of glasses) | $200 allowance* |
| Contact Lens Exam (fitting and evaluation) | Up to $60 copay |
for all other benefit groups is $130.
For plan details, see Benefits Summaries.
VSP contact information
Vsp Vision Copays
Policy #s: Regular 12-029826-2006, Transit 12-029826-2014 (Full-time full benefits and part-time full benefits) and 12-029826-2004 (Part-time partial benefits), Sheriff 12-029826-2012
Vsp Vision Copay Coverage
Phone: 800-877-7195, 800-428-4833 (TTY)
Email:VSP
Vsp Vision Copay Assistance
Web:VSP
Vsp Vision Copay Plans
Claims: VSP, P.O. Box 385018, Birmingham, AL 35238-5018