Dental Coverage
Regular dental exams can help you and your dentist detect problems in the early stages when treatment is simpler and costs are lower. Your PPO dental plan is through Sun Life and offers “in and out-of-network” benefits.
Insurance Carrier:
Sun Life Dental Insurance
Plan Type:
PPO
Calendar Year Deductible Calendar Year Maximum
$50 / Individual; maximum of $150 family
$1,000
Preventive Services
100%
Basic Services Major Services
80% 50% 80%
Endo/Perio
Orthodontic Lifetime (dependent children only)
$1,000
Out-of-Network Reimbursement
90th Usual & Customary
Vision Coverage
The vision plan covers routine eye exams and also pays for all or a portion of the cost of glasses or contact lenses if you need them. Your PPO vision plan is through Sun Life and offers “in and out-of-network” benefits.
Insurance Carrier:
Sun Life Vision Insurance
Plan Type:
VSP Choice Plan
In-Network
Out-of-Network
Exam Services
$10 $25 $25 $25
$45 $30 $50 $60
Lenses - Single lined Lenses - Bifocal lined Lenses - Trifocal Contacts / Lenses
$ 130 allowance; then 20% off any remaining balance $130 allowance; then 20% off any remaining balance
Up to $105 Up to $70
Frames
Frequency for Exam / Lenses / Frames
12 months / 12 months / 24 months
15 J & L VENTURES, LLC 2022 BENEFIT GUIDE
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