Dental, Vision and Hearing Benefits

For Vibra Health Plan PPO Members

Dental Benefits

Most of the time Original Medicare doesn’t cover dental work.

We cover

  • Annual routine cleanings
  • Palliative emergency treatment
  • Periapical x-rays
  • Amalgam and composite fillings
  • Simple (non-surgical) extractions
  • Endodontics
  • Major restorative (crowns, inlays, onlays)
  • Prosthodontics
  • Prosthetics adjustments and repairs

You’ll receive two routine dental visits a year including

  • Cleaning
  • Bitewing X-rays (Set of 2)
  • Oral Exam

Vibra Health Plan PPO benefits

Offer 50 percent of the allowed amount for the following services:

Endodontics and Extraction Services:

  • Simple extractions (non-surgical)
  • Prosthodontics (including dentures) and adjustments
  • Repairs of prosthodontics

Non-routine dental services:

  • Palliative Emergency Treatment

  • Periapical X-rays

Major Restorative Services:

  • Amalgam and composite fillings
  • Crowns
  • Inlays and onlays
The plan has a maximum benefit coverage of $2000. This is used for comprehensive non-Medicare-covered dental services.
 Important Information
 Pre-Treatment Estimates

Vision Benefits

Our plans offer affordable vision benefits that include:

  • Routine eye examination once every calendar year
  • Standard Eyeglass lenses covered in full!
  • $125 plan allowance for eyeglass frames or contact lenses once every two calendar years

As a Vibra Health Plan PPO member, you can pick any vision provider. If you choose a non-network doctor, you may pay more for your services.

Extra options for lenses such as but not limited to Polycarbonate, transitions, non-line progressive bifocals and trifocals are not covered.

Payment will be made for either eyeglass lenses and eyeglass frames or contact lenses within a benefit period. Payment will not be made for both.

For information about your vision benefits, refer to your Vibra Health Plan PPO Evidence of Coverage.

Hearing Benefits

Worried About Hearing Loss?

You’re not alone. We got you covered! In fact, hearing loss is pretty common as we age. About one-third of people between the ages of 65 and 74 experience it; for those 75 and over, about half have difficulty hearing.

Hearing changes as we age and has a profound impact on our quality of life. It’s important to protect your hearing and even more important to know when it is time to seek help for hearing loss.

Our plan wants to ensure you have the hearing coverage you need. With our plans, you’ll receive an annual Routine Hearing Exam at $0 cost to you and a $400 allowance for Hearing Aids every three years.

 Program Features

Updated January 1, 2020
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