Dental and Eye Plan Program

Enrollment for Delta Dental and EyeMed Vision is closed.  

Please note that the existing Co-Health Dental and Vision Discount Program will also continue to be offered. You may enroll in the Co-Health Program at any time. Information regarding Co-Health can be found on their web site at www.cohealthusa.com/yale.

Information on 2014-2015 Dental Plan

Information on 2014-2015 Vision Plan.


Since Fall 2010, GPSS (through the work of the Advocacy Committee) has offered dental and eye coverage to graduate and professional students. Enrollment begins in August  and closes September 15th.  Unfortunately, we are unable to accept applicants after enrollment closes.

To enroll, visit http://www.yale.edu/gradprofdenteye/.

Questions: Email gradprofdenteye@yale.edu.


Fall 2014

Graduate and Professional Students,
As the Graduate and Professional Student Senate (GPSS) and the Graduate Student Assembly (GSA) continue to work to improve the dental and eye plans according to students’ needs, we would like to share with you how the plans are changing for 2014-2015.

EyeMed Vision Care Plan Three changes have been made to the plan:

  1. Eye exams and contact fittings will now be covered, with a fixed $25 copay for eye exams and maximum $40 copay for contact lens fittings. Free eye exams (but not contact fittings) will continue to be available at Yale Health.
  2. The frames allowance has been increased from $130 to $150 (balance over $150 will be discounted by 20%), while the contact lens allowance remains $130. As with previous years, the plan covers glasses OR contacts once per year, but there is a significant discount once the benefit has been used (40% for glasses, 15% for contacts)
  3. The plan now allows for frame purchases every year instead of every other year.

The cost for the 2014-2015 EyeMed plan is $82.20 ($6.85/month).

Delta Dental of New Jersey Plan For 2013-2014, the dental plan saw the added benefit of 80% coverage of fillings performed by Delta Dental PPOSM dentists.  Due to high usage, the plan will modestly increase in cost for the 2014-2015 year without any coverage additions, from $178 to $191 ($15.92/month). The benefit includes two cleanings, one set of X-rays and 80% of the costs of fillings performed by Dental Dental PPOSM dentists, with a $1,000 annual limit on non-preventative/diagnostic care.

As a reminder, enrollment in these plans is NOT automatic (even if you enrolled last year) and must be completed by September 15, 2014. Coverage runs from October 1, 2014 to September 30, 2015; it is not possible to enroll for only one semester. Before signing up, you must decide whether you want to enroll in one or both plans; after completing enrollment you will not be able to go back and add the other plan. Enrollment instructions and additional information can be found at http://www.yale.edu/gradprofdenteye/. Questions about the Eye and Dental plans can be sent to gradprofdenteye@yale.edu.

GPSS and GSA work hard to balance the benefits and costs of the plans. The decisions are based on survey data,  individual student feedback to their respective GSA and GPSS representatives, and the types of options the insurance providers offer. If you’d like to provide additional feedback or have another issue you believe GSA or GPSS should be pursuing, please click here.

Sincerely,

GSA and GPSS


Summer 2013

Dear Yale Student:

We are pleased to announce that this fall the University will once again offer graduate and professional students both a dental plan and a vision plan, in addition to the existing Co-Health Dental and Vision Discount Program. Additionally, for your convenience, enrollment and payment for the plans will be completed online. New for the 2013-2014 academic year, the dental plan will offer coverage for fillings at 80% when you use a dentist in the PPO network.

The dental plan is offered through Delta Dental of New Jersey, America’s largest, most experienced dental benefits carrier, offering national coverage and providing quality, cost-effective dental programs and services for participants.

The vision plan is offered through EyeMed Vision Care, a leading vision benefits company dedicated to improving the vision of its members through comprehensive vision wellness plans.

Enrollment is not automatic for either plan. Applications and full payment must be submitted online at www.yale.edu/gradprofdenteye/ by September 15. Documents with specific plan information (e.g., covered services) and Frequently Asked Questions (FAQs) for each plan are enclosed with this letter. Below you will find an overview of both plans with enrollment information, charts summarizing the benefits, and the fee structure. Please review the information carefully in order to ensure that you do not miss this important opportunity.

DENTAL PLAN OVERVIEW

Delta Dental PPOSM plus Premier Plan
Yale G&P Student Dental Plan

If a Delta
Dental PPOSM
Dentist is used:

If a Delta
Dental Premier®
or out-of-network dentist is used:

Calendar Year Deductible

   
  • Per Person

$0

$0

  • Family Aggregate Maximum

$0

$0

     

Preventive & Diagnostic

   
  • Exams, Cleanings, Bitewing X-Rays (one set per plan year for adults)

100%

70%

Fillings

80%

0%

     

Remaining Basic, Crowns, Prosthodontics and Other Services

0%*
*For these services, no benefits are payable by the plan, but you may enjoy reduced approved fee levels as permitted by state law.
A pre-service estimate is highly recommended before obtaining any of these services in order to understand your payment responsibility.

0%*
*For these services, no benefits are payable by the plan, but you may enjoy reduced approved fee levels as permitted by state law.
A pre-service estimate is highly recommended before obtaining any of these services in order to understand your payment responsibility.

Calendar Year Maximum (Per Person)

Unlimited

Unlimited

The benefits outlined above are a summary. Please review the attached information for more specific details about the plan.
Annual premiums for the dental plan are as follows and are payable by the student at the time of enrollment:

Annual Premium

Single

$177.84

Student 1

$314.88

Family

$724.08

If you are interested in enrolling in the Delta Dental of New Jersey plan, you must complete the online enrollment application and payment at www.yale.edu/gradprofdenteye/ for coverage effective October 1, 2013 through September 30, 2014.

Enrollment is not automatic. Applications and full payment must be submitted online at www.yale.edu/gradprofdenteye/ by September 15. The enrollment web site will close for the 2013-2014 academic year at 11:59 P.M. ET on September 15, 2013, the end of the enrollment period.

Please note:Before you begin the enrollment process, be sure that you have finalized your decision on the plan(s) in which you wish to enroll and that you have all the information necessary to complete the enrollment forms including your complete address and the names and dates of birth of all dependents that are to be enrolled. You should have a major credit card (Visa, MasterCard, Discover or American Express) with you to pay for the plan(s) in order to complete the enrollment process.

To complete the enrollment process and be enrolled in either or both the Delta Dental of New Jersey and EyeMed plans, you must pay the cost of the plans(s) online at www.yale.edu/gradprofdenteye/. After you have paid, the enrollment process will be complete and you will be enrolled effective October 1, 2013. If, for any reason, you do not complete the enrollment process, you will be permitted to re-enter the enrollment web site to complete your enrollment. After you have paid for either or both the Delta Dental of New Jersey and EyeMed plans, your enrollment will be complete and you will not be able to cancel your enrollment in any plan you may have enrolled in nor will you be able to enroll in any plan you may not have enrolled in. In other words, if you completed your enrollment (including your payment) in the Delta Dental plan but did not also enroll in EyeMed, you will not have another opportunity to enroll in EyeMed. Similarly, if you completed your enrollment (including your payment) in the EyeMed plan but did not also enroll in Delta Dental, you will not have another opportunity to enroll in Delta Dental.

VISION PLAN OVERVIEW

EyeMed VISION CARE®
Yale G&P Student Vision Plan

Member Cost
In-Network

Out-of Network
Reimbursement

Frames

$0 Copay, $130 allowance;
20% off balance over $130

Up to $65

Standard Plastic Lenses

   
  • Single Vision

$15 Copay

Up to $25

  • Bifocal

$15 Copay

Up to $40

Contact Lenses (Contact Lens allowance includes materials only; in lieu of Standard Plastic lens)

  • Conventional

$0 Copay, $130 allowance;
15% off balance over $130

Up to $104

  • Disposables

$0 Copay, $130 allowance

Up to $104

LASIK and PRK Vision Correction Procedures

15% off retail price OR
5% off promotional pricing

N/A

Additional Pairs Benefit (Members also receive a 40% discount off a complete pair of eyeglasses purchase and 15% discount off conventional contact lenses once the funded benefit has been used.)

   
  • Frequency for Frames

Once every 24 months

  • Frequency for Standard Plastic Lenses or Contact Lenses

Once every 12 months

 

The benefits outlined above are a summary. Please review the attached information for more specific details about the plan.
Annual premiums for the vision plan are as follows and are payable by the student at the time of enrollment:

Annual Premium

Single

$50.88

Student 1

$96.84

Family

$142.20

If you are interested in enrolling in the EyeMed Vision Care plan, you must complete the online enrollment application and payment at www.yale.edu/gradprofdenteye/ for coverage effective October 1, 2013 through September 30, 2014.

Enrollment is not automatic. Applications and full payment must be submitted online at www.yale.edu/gradprofdenteye/ by September 15. The enrollment web site will close for the 2013-2014 academic year at 11:59 P.M. ET on September 15, 2013, the end of the enrollment period.

Remember, you must pay the cost of the plan(s) you wish to enroll in online at www.yale.edu/gradprofdenteye/. After you have paid, the enrollment process will be complete and you will be enrolled in either or both of the plans effective October 1, 2013. If, for any reason, you do not complete the enrollment process, you will be permitted to re-enter the enrollment web site to complete your enrollment. After you have paid for either or both the Delta Dental of New Jersey and EyeMed plans, your enrollment will be complete and you will not be able to cancel your enrollment in any plan you may have enrolled in nor will you be able to enroll in any plan you may not have enrolled in.

CONTACT INFORMATION
If you have questions about the dental plan, please contact Delta Dental’s customer service team at 1-800-452-9310 or visit their web site at www.deltadentalnj.com.

If you have questions about the vision plan, please contact EyeMed’s customer service team at 1-866-299-1358 or visit their web site at www.eyemedvisioncare.com.

Please note that the existing Co-Health Dental and Vision Discount Program will also continue to be offered. You may enroll in the Co-Health Program at any time. Information regarding Co-Health can be found on their web site at www.cohealthusa.com/yale.

Your colleagues,
The Graduate School Assembly
The Graduate and Professional School Senate
 


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