Dental and Vision Plan Program

Enrollment for Delta Dental and EyeMed Vision is open until September 15th.

Information on the Dental and Vision plans as well as enrollment can be found at https://gradprofdenteye.yale.edu/.

Contact gradprofdenteye@yale.edu with any questions or concerns.

Dental and Vision Q&A Presentation from 8/28/18

List of local Dental offices around New Haven

Summer 2018

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. Additionally, for your convenience, enrollment and payment for the plans will be completed online.

The dental plan is offered through Delta Dental of Connecticut, 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 http://gradprofdenteye.yale.edu/ by September 15.

Supporting Documents:

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® Program
Yale G&P Student Dental Plan
Benefit Year =
October 1 – September 30
 		 If a Delta 
Dental PPOSM
Dentist is used:
 		 If a Delta 
Dental Premier® 
or out-of-network dentist is used:
 
Benefit Year Deductible
 		    
  • Per Person

    Deductible waived for Preventive & Diagnostic (P&D) services

 $25
 		 $35
 
  • Family Aggregate Maximum

    Family deductible is accumulated by individual deductibles

 $50
 
 
 		 $70
 
 
 
     
Preventive & Diagnostic (P&D)
 		    
  • Exams, Cleanings, (each twice per contract year per person), Bitewing X-Rays (one set per plan year for adults)
 100%
 		 60%
 
  • Fluoride Treatment (twice per plan year for children)
 100%
 		 60%
 
 
 		  
 		  
 
Fillings* (composite resin restorations on all teeth)
 		 80%*
 		 50%*
 
*NOTE: These benefits are available only to students enrolled in their second year of continuous coverage and beyond.
 		    
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.
 
Plan Year Maximum (Per Person), P&D care does not count toward maximum
 		 $1000
 		 $1000
 

The benefits outlined above are a summary. Please review the supporting documents for more information about the plan.

Annual premiums for the dental plan are as follows and are payable by the studentat the time of enrollment:
 
 
   

Annual Premium
 
Single
 		 $227.64
 
Student + Spouse
OR
Student + Child
 		 $402.84
 
Family
 		 $614.52
 

If you are interested in enrolling in the Delta Dental of Connecticut plan, you must complete the online enrollment application and payment at http://gradprofdenteye.yale.edu/ for coverage effective October 1, 2018 through September 30, 2019.

Enrollment is not automatic. Applications and full payment must be submitted online at http://gradprofdenteye.yale.edu/ by September 15. The enrollment web site will close for the 2018-2019 academic year at 11:59 P.M. ET on September 15, 2018, 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 Connecticut and EyeMed plans, you must pay the cost of the plan(s) online at http://gradprofdenteye.yale.edu/ . After you have paid, the enrollment process will be complete and you will be enrolled effective October 1, 2018. 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 Connecticut 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
 
Exam Options
 		  
 		  
 
  • Exam w/Dilation as necessary*
 $25 Copay
*Eye exams are available at Yale Health Center and covered at 100% (no copay applies) for students enrolled in Yale Health Hospitalization/Specialty coverage
 		 $11
 
  • Standard Contact Lens fit and follow-up
 Up to $40
 		 N/A
 
  • Premium Contact Lens fit and follow-up
 10% off retail price
 		 N/A
 
Frames
Any available frame at provider location
 		 $0 Copay, $160 allowance;
20% off balance over $160
 		 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
 		 EyeMed offers contacts online through contactsdirect.com 
 		  
 
  • Conventional
 $0 Copay, $130 allowance;
15% off balance over $130
 		 Up to $104
 
  • Disposables
 $0 Copay, $130 allowance, plus balance over $130
 		 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
 		  
 		  
 
  • Frequency for Frames
  • Frequency for Lenses or Contact Lenses
  • Frequency for Contact Lens Fit Exam
 Once every 12 months
 		  

The benefits outlined above are a summary. Please review the supporting documents for more information 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
 		 $82.20
 
Student + Spouse
OR
Student + Child
 		 $156.34
 
Family
 		 $229.53
 

If you are interested in enrolling in the EyeMed Vision Care plan, you must complete the online enrollment application and payment at http://gradprofdenteye.yale.edu/ for coverage effective October 1, 2018 through September 30, 2019.

Enrollment is not automatic. Applications and full payment must be submitted online at http://gradprofdenteye.yale.edu/ by September 15. The enrollment web site will close for the 2018-2019 academic year at 11:59 P.M. ET on September 15, 2018, the end of the enrollment period.

Remember, you must pay the cost of the plan(s) you wish to enroll in online at http://gradprofdenteye.yale.edu/ . 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, 2018. 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 Connecticut 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.deltadentalct.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. 

You may also send questions to gradprofdenteye@yale.edu. Representatives from the Graduate and Professional Student Senate (GPSS) and the Graduate Student Assembly (GSA) will track down answers for you and reply via email.

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

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Last updated: August 2018