pre-65 dental & vision
dental plans
Please review the Summary of Benefits Documents Provided here:
We understand the importance of good dental health. Good oral hygiene is important to your overall health. Regular visits to the dentist can help detect problems like gingivitis and even oral cancer. Plan on visiting your dentist once every six months. DSRA-BT offers dental coverage through Blue Cross Blue Shield of Michigan (BCBSM). The dental plan provides a wide variety of covered services – either covered in full or partially by the plan. Members will continue to have the choice to enroll in dental and/or vision which requires an application to be completed. The table below provides an overview of the dental plan benefit. For specific details about the plan, please refer to the Summary of Benefits.
Deductible - $50 per member/ $150 for a family (applies to class II and III services only)
Annual Maximum - $3,000 per member (applies to class I, II and III services only)
* Differences in Class coverage's for the Low Dental Plan and the High Dental Plan
pre-65 dental only monthly rates
When you age up to 65, you are required to submit a new dental and/or vision enrollment form!
vision plan
Click here for plan coverage details or for Guide to Benefits and Premiums.
Your eyes are your windows to wellness. Routine eye exams each year allows your eye doctor to detect symptoms of serious eye disease – such as cataracts, glaucoma, and macular degeneration – and health conditions – such as diabetes, cardiovascular disease, and high blood pressure. Caught early, many of these diseases are treatable. However, left undetected and untreated, these conditions can result in vision loss, a lower quality of life, and higher overall health care costs. DSRA-BT will continue to offer vision benefits through Blue Cross Blue Shield of Michigan (BCBSM). The vision plan offers you comprehensive coverage – including eye exams and materials – through VSP, the nation’s largest vision care network, with 27,000 doctors and 41,000 locations. Members will continue to have the choice to enroll in vision and/or dental which requires an application to be completed. The table below provides an overview of the vision plan benefit. For specific details about the plan, please refer to the Benefits-at-a-Glance summary of benefits. To find a VSP doctor, call 1-800- 877-7195 or log on to the VSP website at www.vsp.com.
pre 65 vision only monthly rates
dental & vision
pre-65 bundled monthly rates
enroll
today
Contact Benistar DSRA Benefit Trust
Customer Service / Call Center
1-888-588-6682
