NEW BENEFITS FOR MEMBERS:
TAKE ADVANTAGE OF IT!
Use your doctor or save up to 50% in-network
400,000 dental & 36,000 vision providers in-network
Yearly maximums up to $2,500.00
No waiting periods on covered services
ENROLL NOW
Your Teeth & Eyes
Will Say Thanks!

Retired Public Employees' Association of California (RPEA) knows Retired State, City, And County Employees like you. AMBA knows insurance. Together we can provide you with the dental and vision plans you need to keep your teeth and eyes healthy now and for years to come.

Dental Plans That Fit Your Budget:

  • Keep your dentist or choose an In-Network dentist and save
  • Over 400,000 providers to choose from, whether home or away
  • No waiting period on covered services – get access right away
  • Covers exams, cleanings, fillings, crowns, implants, and more
  • High annual maximum that can increase after one year
Dental Plan Comparison
Gold
Plan
Essential Coverage
Platinum
Plan
Most Comprehensive
Member
$31.52/month
$66.12/month
Member +1
$63.08/month
$132.20/month
Member +Family
$93.92/month
$170.52/month
Deductible
$50.00 per year/person
$50.00 per year/person
(waived for Preventative services)

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Annual Maximums

Gold
Plan
Platinum
Plan
In Network
$800.00 per year/person
$1,500.00 per year/person
Out of Network
$800.00 per year/person
$1,500.00 per year/person

Rewards

Gold
Plan
Platinum
Plan
Annual Benefit Threshold
$500.00
$500.00
Annual Maximum Benefit
$800.00
$1,500.00
Dental Rewards Carry Over
$250.00
$250.00
Year 2 Maximum Benefit
$1,050.00
$1,750.00
Total Maximum Benefit
$1,800.00
$2,500.00

Preventative

X-Rays
Covers 100% I.N. (80% O.O.N.) (bitewing)
Covers 70% I.N. (60% O.O.N.) (panoramic)
Covers 100% I.N. (80% O.O.N.) (bitewing)
Covers 80% I.N. (60% O.O.N.) (panoramic)
Routine Cleanings
Covers 100% I.N. (80% O.O.N.)
Covers 100% I.N. (80% O.O.N.)
Routine Oral Exams
Covers 100% I.N. (80% O.O.N.)
Covers 100% I.N. (80% O.O.N.)

Basic

Extractions
Covers 70% I.N. (60% O.O.N.) (simple)
Covers 80% I.N. (60% O.O.N.) (simple)
Covers 50% I.N. (40% O.O.N.) (complex)
Fillings
Covers 70% I.N. (60% O.O.N.)
Covers 80% I.N. (60% O.O.N.)
X-Rays
Covers 100% I.N. (80% O.O.N.) (bitewing)
Covers 70% I.N. (60% O.O.N.) (panoramic)
Covers 100% I.N. (80% O.O.N.) (bitewing)
Covers 80% I.N. (60% O.O.N.) (panoramic)
Periodontal Maintenance
Covers 70% I.N. (60% O.O.N.)
Covers 80% I.N. (60% O.O.N.)

Major

Bridge Work
Not Covered
Covers 50% I.N. (40% O.O.N.)
Crown Repair
Not Covered
Covers 50% I.N. (40% O.O.N.)
Crown (all types)
Not Covered
Covers 50% I.N. (40% O.O.N.)
Denture Repair
Not Covered
Covers 50% I.N. (40% O.O.N.)
Dentures (all types)
Not Covered
Covers 50% I.N. (40% O.O.N.)
Root Canal (all types)
Not Covered
Covers 50% I.N. (40% O.O.N.)
Extractions
Covers 70% I.N. (60% O.O.N.) (simple)
Covers 80% I.N. (60% O.O.N.) (simple)
Covers 50% I.N. (40% O.O.N.) (complex)
General Anesthesia
Not Covered
Covers 50% I.N. (40% O.O.N.)
Implants
Not Covered
Covers 50% I.N. (40% O.O.N.)

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Use your current dentist OR Save 25-50% with a dentist in our network. Find a dentist
(note: Enter zip, select city & state, and Classic PPO network.)

Ameritas
Details may vary based on start date. Please note it may take 10-15 days to process your enrollment. You will receive a ‘welcome to the program’ letter which will include your group number and carrier details. Please consult your policy as the final ultimate source of covered services and program details.
Rates valid from 1 May, 2020 to 30 April, 2026. 
                {
    "services": {
        "X-Rays": {
            "Gold": "Covers 100% I.N.<\/span> (80% O.O.N.)<\/span> (bitewing)<\/span>Covers 70% I.N.<\/span> (60% O.O.N.)<\/span> (panoramic)<\/span>",
            "Platinum": "Covers 100% I.N.<\/span> (80% O.O.N.)<\/span> (bitewing)<\/span>Covers 80% I.N.<\/span> (60% O.O.N.)<\/span> (panoramic)<\/span>"
        },
        "Routine Cleanings": {
            "Gold": "Covers 100% I.N.<\/span> (80% O.O.N.)<\/span>",
            "Platinum": "Covers 100% I.N.<\/span> (80% O.O.N.)<\/span>"
        },
        "Routine Oral Exams": {
            "Gold": "Covers 100% I.N.<\/span> (80% O.O.N.)<\/span>",
            "Platinum": "Covers 100% I.N.<\/span> (80% O.O.N.)<\/span>"
        },
        "Extractions": {
            "Gold": "Covers 70% I.N.<\/span> (60% O.O.N.)<\/span> (simple)<\/span>",
            "Platinum": "Covers 80% I.N.<\/span> (60% O.O.N.)<\/span> (simple)<\/span>Covers 50% I.N.<\/span> (40% O.O.N.)<\/span> (complex)<\/span>"
        },
        "Fillings": {
            "Gold": "Covers 70% I.N.<\/span> (60% O.O.N.)<\/span>",
            "Platinum": "Covers 80% I.N.<\/span> (60% O.O.N.)<\/span>"
        },
        "Periodontal Maintenance": {
            "Gold": "Covers 70% I.N.<\/span> (60% O.O.N.)<\/span>",
            "Platinum": "Covers 80% I.N.<\/span> (60% O.O.N.)<\/span>"
        },
        "Bridge Work": {
            "Platinum": "Covers 50% I.N.<\/span> (40% O.O.N.)<\/span>"
        },
        "Crown Repair": {
            "Platinum": "Covers 50% I.N.<\/span> (40% O.O.N.)<\/span>"
        },
        "Crown (all types)": {
            "Platinum": "Covers 50% I.N.<\/span> (40% O.O.N.)<\/span>"
        },
        "Denture Repair": {
            "Platinum": "Covers 50% I.N.<\/span> (40% O.O.N.)<\/span>"
        },
        "Dentures (all types)": {
            "Platinum": "Covers 50% I.N.<\/span> (40% O.O.N.)<\/span>"
        },
        "Root Canal (all types)": {
            "Platinum": "Covers 50% I.N.<\/span> (40% O.O.N.)<\/span>"
        },
        "General Anesthesia": {
            "Platinum": "Covers 50% I.N.<\/span> (40% O.O.N.)<\/span>"
        },
        "Implants": {
            "Platinum": "Covers 50% I.N.<\/span> (40% O.O.N.)<\/span>"
        }
    },
    "plans": {
        "Gold": {
            "inEffect": "2020-05-01T00:00:00",
            "marketingInEffect": "2020-05-01T00:00:00",
            "outOfEffect": "2026-04-30T00:00:00",
            "marketingOutOfEffect": "2026-03-28T00:00:00",
            "policyNumber": "350786",
            "cleaningsPerPeriod": 2,
            "cleaningPeriod": "12 months",
            "orthoEliminationPeriod": 0,
            "examFrequency": 1,
            "examPeriod": "6 months",
            "orthoCoverageDescription": "None",
            "orthoLifetimeMax": 0,
            "orthoCoInsurance": 0,
            "annualPlanMax": 800,
            "outOfNetAnnualPlanMax": 800,
            "rewardsThreshold": 500,
            "rewardsAnnualRollover": 250,
            "ppobonus": 0,
            "rewardsMaxRollover": 1000,
            "waitingPeriod": null,
            "notes": "Louisiana, Texas & Montana DO NOT HAVE OON RATES IN AND OUT ARE THE SAME PERCENTAGE COVERAGES\r\n\r\nNOTE 2: deductible is waived if you go in network but not out of network.  I unchecked deductible being waived b\/c of this to present the most conservati",
            "deductible": 50,
            "familyDeductibleMax": 150,
            "dentalRewards": true,
            "planLevel": "Gold",
            "dentalNetworkDescription": "In-Network Benefits \/ Out-Of-Network Benefits",
            "frequencyType": "Annual",
            "carrier": {
                "fullName": "Ameritas Life Insurance Corp",
                "shortName": "Ameritas",
                "logo": "\/img\/ameritas.png",
                "creativeApproval": "2020-03-11T19:51:51.743",
                "legalName": "Ameritas Life Insurance Corp (Ameritas Life)",
                "website": "https:\/\/dentalnetwork.ameritas.com\/",
                "phone": "1-877-983-3582",
                "instructions": "Enter zip, select city & state, and Classic PPO network."
            },
            "dentalPlanCoverage": [
                {
                    "rate": 31.52,
                    "coverage": "Member",
                    "areaName": null
                },
                {
                    "rate": 63.08,
                    "coverage": "Member +1",
                    "areaName": null
                },
                {
                    "rate": 93.92,
                    "coverage": "Member +Family",
                    "areaName": null
                }
            ],
            "dentalPlanRateBandState": [],
            "dentalPlanType": [
                {
                    "dentalType": null,
                    "inNetworkPercent": 1,
                    "outOfNetworkPercent": 0.8,
                    "deductibleWaived": false,
                    "dentalPlanTypeIncentive": [],
                    "dentalPlanTypeProcedure": [
                        {
                            "frequency": 1,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Bitewing X-rays"
                        },
                        {
                            "frequency": 1,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Routine Cleanings"
                        },
                        {
                            "frequency": 1,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Routine Oral Exams"
                        }
                    ]
                },
                {
                    "dentalType": null,
                    "inNetworkPercent": 0.7,
                    "outOfNetworkPercent": 0.6,
                    "deductibleWaived": false,
                    "dentalPlanTypeIncentive": [],
                    "dentalPlanTypeProcedure": [
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Extraction (simple)"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Fillings"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Panoramic X-Rays"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Periodontal Maintenance"
                        }
                    ]
                },
                {
                    "dentalType": null,
                    "inNetworkPercent": 0,
                    "outOfNetworkPercent": 0,
                    "deductibleWaived": false,
                    "dentalPlanTypeIncentive": [],
                    "dentalPlanTypeProcedure": []
                }
            ],
            "inEffectDate": "2020-05-01",
            "inEffectTimestamp": 1588309200,
            "outOfEffectDate": "2026-04-30",
            "outOfEffectTimestamp": 1777525200,
            "marketingInEffectDate": "2020-05-01",
            "marketingInEffectTimestamp": 1588309200,
            "inEffectDateCalc": "2020-05-01",
            "marketingOutOfEffectDate": "2026-03-28",
            "marketingOutOfEffectTimestamp": 1774674000,
            "startTimestamp": 1730437200,
            "isInEffect": true,
            "marketingIsInEffect": true,
            "planLevelText": "Essential Coverage",
            "frequencyText": "per year & per person",
            "frequencyTextAlt": "per year\/person",
            "planCoverage": [
                {
                    "rate": 31.52,
                    "coverage": "Member",
                    "areaName": null
                },
                {
                    "rate": 63.08,
                    "coverage": "Member +1",
                    "areaName": null
                },
                {
                    "rate": 93.92,
                    "coverage": "Member +Family",
                    "areaName": null
                }
            ],
            "planType": "dental",
            "types": [
                {
                    "dentalType": null,
                    "inNetworkPercent": 1,
                    "outOfNetworkPercent": 0.8,
                    "deductibleWaived": false,
                    "dentalPlanTypeIncentive": [],
                    "dentalPlanTypeProcedure": [
                        {
                            "frequency": 1,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Bitewing X-rays"
                        },
                        {
                            "frequency": 1,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Routine Cleanings"
                        },
                        {
                            "frequency": 1,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Routine Oral Exams"
                        }
                    ],
                    "covers": "Covers 100% I.N.<\/span> (80% O.O.N.)<\/span>"
                },
                {
                    "dentalType": null,
                    "inNetworkPercent": 0.7,
                    "outOfNetworkPercent": 0.6,
                    "deductibleWaived": false,
                    "dentalPlanTypeIncentive": [],
                    "dentalPlanTypeProcedure": [
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Extraction (simple)"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Fillings"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Panoramic X-Rays"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Periodontal Maintenance"
                        }
                    ],
                    "covers": "Covers 70% I.N.<\/span> (60% O.O.N.)<\/span>"
                },
                {
                    "dentalType": null,
                    "inNetworkPercent": 0,
                    "outOfNetworkPercent": 0,
                    "deductibleWaived": false,
                    "dentalPlanTypeIncentive": [],
                    "dentalPlanTypeProcedure": [],
                    "covers": "Covers 0%"
                }
            ],
            "waived": [],
            "waivedLabeled": false
        },
        "Platinum": {
            "inEffect": "2020-05-01T00:00:00",
            "marketingInEffect": "2020-05-01T00:00:00",
            "outOfEffect": "2026-04-30T00:00:00",
            "marketingOutOfEffect": "2026-03-28T00:00:00",
            "policyNumber": "350786",
            "cleaningsPerPeriod": 2,
            "cleaningPeriod": "12 months",
            "orthoEliminationPeriod": 0,
            "examFrequency": 1,
            "examPeriod": "6 months",
            "orthoCoverageDescription": "None",
            "orthoLifetimeMax": 0,
            "orthoCoInsurance": 0,
            "annualPlanMax": 1500,
            "outOfNetAnnualPlanMax": 1500,
            "rewardsThreshold": 500,
            "rewardsAnnualRollover": 250,
            "ppobonus": 0,
            "rewardsMaxRollover": 1000,
            "waitingPeriod": null,
            "notes": "Louisiana, Texas & Montana DO NOT HAVE OON RATES IN AND OUT ARE THE SAME PERCENTAGE COVERAGES",
            "deductible": 50,
            "familyDeductibleMax": 150,
            "dentalRewards": true,
            "planLevel": "Platinum",
            "dentalNetworkDescription": "In-Network Benefits \/ Out-Of-Network Benefits",
            "frequencyType": "Annual",
            "carrier": {
                "fullName": "Ameritas Life Insurance Corp",
                "shortName": "Ameritas",
                "logo": "\/img\/ameritas.png",
                "creativeApproval": "2020-03-11T19:51:51.743",
                "legalName": "Ameritas Life Insurance Corp (Ameritas Life)",
                "website": "https:\/\/dentalnetwork.ameritas.com\/",
                "phone": "1-877-983-3582",
                "instructions": "Enter zip, select city & state, and Classic PPO network."
            },
            "dentalPlanCoverage": [
                {
                    "rate": 66.12,
                    "coverage": "Member",
                    "areaName": null
                },
                {
                    "rate": 132.2,
                    "coverage": "Member +1",
                    "areaName": null
                },
                {
                    "rate": 170.52,
                    "coverage": "Member +Family",
                    "areaName": null
                }
            ],
            "dentalPlanRateBandState": [],
            "dentalPlanType": [
                {
                    "dentalType": null,
                    "inNetworkPercent": 1,
                    "outOfNetworkPercent": 0.8,
                    "deductibleWaived": true,
                    "dentalPlanTypeIncentive": [],
                    "dentalPlanTypeProcedure": [
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Bitewing X-rays"
                        },
                        {
                            "frequency": 2,
                            "mceamount": 0,
                            "frequencyType": "Annual",
                            "name": "Routine Cleanings"
                        },
                        {
                            "frequency": 1,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Routine Oral Exams"
                        }
                    ]
                },
                {
                    "dentalType": null,
                    "inNetworkPercent": 0.8,
                    "outOfNetworkPercent": 0.6,
                    "deductibleWaived": false,
                    "dentalPlanTypeIncentive": [],
                    "dentalPlanTypeProcedure": [
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Extraction (simple)"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Fillings"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Panoramic X-Rays"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Periodontal Maintenance"
                        }
                    ]
                },
                {
                    "dentalType": null,
                    "inNetworkPercent": 0.5,
                    "outOfNetworkPercent": 0.4,
                    "deductibleWaived": false,
                    "dentalPlanTypeIncentive": [],
                    "dentalPlanTypeProcedure": [
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Bridge Work"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Crown Repair"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Crowns"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Denture Repair"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Dentures"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Endodontics (root canals)"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Extraction (complex) "
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "General Anesthesia"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Implants"
                        }
                    ]
                }
            ],
            "inEffectDate": "2020-05-01",
            "inEffectTimestamp": 1588309200,
            "outOfEffectDate": "2026-04-30",
            "outOfEffectTimestamp": 1777525200,
            "marketingInEffectDate": "2020-05-01",
            "marketingInEffectTimestamp": 1588309200,
            "inEffectDateCalc": "2020-05-01",
            "marketingOutOfEffectDate": "2026-03-28",
            "marketingOutOfEffectTimestamp": 1774674000,
            "startTimestamp": 1730437200,
            "isInEffect": true,
            "marketingIsInEffect": true,
            "planLevelText": "Most Comprehensive",
            "frequencyText": "per year & per person",
            "frequencyTextAlt": "per year\/person",
            "planCoverage": [
                {
                    "rate": 66.12,
                    "coverage": "Member",
                    "areaName": null
                },
                {
                    "rate": 132.2,
                    "coverage": "Member +1",
                    "areaName": null
                },
                {
                    "rate": 170.52,
                    "coverage": "Member +Family",
                    "areaName": null
                }
            ],
            "planType": "dental",
            "types": [
                {
                    "dentalType": null,
                    "inNetworkPercent": 1,
                    "outOfNetworkPercent": 0.8,
                    "deductibleWaived": true,
                    "dentalPlanTypeIncentive": [],
                    "dentalPlanTypeProcedure": [
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Bitewing X-rays"
                        },
                        {
                            "frequency": 2,
                            "mceamount": 0,
                            "frequencyType": "Annual",
                            "name": "Routine Cleanings"
                        },
                        {
                            "frequency": 1,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Routine Oral Exams"
                        }
                    ],
                    "covers": "Covers 100% I.N.<\/span> (80% O.O.N.)<\/span>"
                },
                {
                    "dentalType": null,
                    "inNetworkPercent": 0.8,
                    "outOfNetworkPercent": 0.6,
                    "deductibleWaived": false,
                    "dentalPlanTypeIncentive": [],
                    "dentalPlanTypeProcedure": [
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Extraction (simple)"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Fillings"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Panoramic X-Rays"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Periodontal Maintenance"
                        }
                    ],
                    "covers": "Covers 80% I.N.<\/span> (60% O.O.N.)<\/span>"
                },
                {
                    "dentalType": null,
                    "inNetworkPercent": 0.5,
                    "outOfNetworkPercent": 0.4,
                    "deductibleWaived": false,
                    "dentalPlanTypeIncentive": [],
                    "dentalPlanTypeProcedure": [
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Bridge Work"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Crown Repair"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Crowns"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Denture Repair"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Dentures"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Endodontics (root canals)"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Extraction (complex) "
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "General Anesthesia"
                        },
                        {
                            "frequency": 0,
                            "mceamount": 0,
                            "frequencyType": null,
                            "name": "Implants"
                        }
                    ],
                    "covers": "Covers 50% I.N.<\/span> (40% O.O.N.)<\/span>"
                }
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            "waived": [
                1
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            "waivedLabeled": [
                "Preventative"
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    },
    "procedures": {
        "X-Rays": {
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            "panoramic)": 1
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        "Routine Cleanings": {
            "": 1
        },
        "Routine Oral Exams": {
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        "Extractions": {
            "simple)": 1,
            "complex)": 1
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        "Fillings": {
            "": 1
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        "Periodontal Maintenance": {
            "": 1
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        "Bridge Work": {
            "": 1
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        "Crown Repair": {
            "": 1
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        "Crown": {
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        "Denture Repair": {
            "": 1
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        "Dentures": {
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        "Root Canal": {
            "all types)": 1
        },
        "General Anesthesia": {
            "": 1
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        "Implants": {
            "": 1
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    "coverage": {
        "Member": {
            "Gold": 31.52,
            "Platinum": 66.12
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        "Member +Associate": [],
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        "Member +1": {
            "Gold": 63.08,
            "Platinum": 132.2
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        "Member +Family": {
            "Gold": 93.92,
            "Platinum": 170.52
        },
        "Member +Children": []
    },
    "annualPlanMax": {
        "Gold": 800,
        "Platinum": 1500
    },
    "outOfNetAnnualPlanMax": {
        "Gold": 800,
        "Platinum": 1500
    },
    "rewardsThreshold": {
        "Gold": 500,
        "Platinum": 500
    },
    "rewardsAnnualRollover": {
        "Gold": 250,
        "Platinum": 250
    },
    "rewardsMaxRollover": {
        "Gold": 1000,
        "Platinum": 1000
    },
    "type_1": {
        "inNetworkPercent": {
            "Gold": 1,
            "Platinum": 1
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        "outOfNetworkPercent": {
            "Gold": 0.8,
            "Platinum": 0.8
        },
        "deductibleWaived": {
            "Gold": false,
            "Platinum": true
        },
        "services": {
            "X-Rays": {
                "Gold": 1,
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            },
            "Routine Cleanings": {
                "Gold": 1,
                "Platinum": 1
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            "Routine Oral Exams": {
                "Gold": 1,
                "Platinum": 1
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        }
    },
    "type_2": {
        "inNetworkPercent": {
            "Gold": 0.7,
            "Platinum": 0.8
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        "outOfNetworkPercent": {
            "Gold": 0.6,
            "Platinum": 0.6
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        "deductibleWaived": {
            "Gold": false,
            "Platinum": false
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        "services": {
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                "Gold": 1,
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            },
            "Fillings": {
                "Gold": 1,
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            "X-Rays": {
                "Gold": 1,
                "Platinum": 1
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            "Periodontal Maintenance": {
                "Gold": 1,
                "Platinum": 1
            }
        }
    },
    "type_3": {
        "inNetworkPercent": {
            "Gold": 0,
            "Platinum": 0.5
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        "outOfNetworkPercent": {
            "Gold": 0,
            "Platinum": 0.4
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        "deductibleWaived": {
            "Gold": false,
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        },
        "services": {
            "Bridge Work": {
                "Platinum": 1
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            "Crown Repair": {
                "Platinum": 1
            },
            "Crown (all types)": {
                "Platinum": 1
            },
            "Denture Repair": {
                "Platinum": 1
            },
            "Dentures (all types)": {
                "Platinum": 1
            },
            "Root Canal (all types)": {
                "Platinum": 1
            },
            "Extractions": {
                "Platinum": 1
            },
            "General Anesthesia": {
                "Platinum": 1
            },
            "Implants": {
                "Platinum": 1
            }
        }
    }
};
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Member $12.72/month
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Exam Copay: $15
Frames Copay: $25
Frames Allowance:
$170 for featured frames 		$150
Contacts Allowance: $150

Quality Coverage With Low Copays

  • WellVision Exam every 12 months with $15 copay.
  • Contact Lens Exam every 12 months
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  • Frames every 24 months: up to $170, then 20% off
  • Up to 25% savings on anti-reflective & UV coating
    • 100% Coverage On Standard Progressive Lenses
    • 20-25% saving on non-covered lens enhancements such as anti-reflective and UV coating
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  • Find Your Eye Doctor

Use the largest independent doctor network in the country plus retailers you know:

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  • Exam up to $45
  • Lined Trifocal Lenses up to $65
  • Frame up to $70
  • Progressive Lenses up to $50
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  • Contacts up to $105
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Details may vary based on start date. Upon enrollment you will receive a ‘welcome to the program’ letter then you will receive your full policy documents and ID cards. Please consult your policy as the final ultimate source of covered services and program details.
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