Dental & Vision Plans

Vision Plan Description
  • If you, and/or dependents, are enrolled in the health program you are automatically enrolled in the vision plan.  This plan will pay 75% of covered vision procedure expenses with a maximum of $250 of annual benefits per covered individual.
  • All vision correction procedures are covered vision expenses if provided by or under the direction of an optometrist or ophthalmologist licensed to practice by the state in which he or she practices.  Also covered are glasses and contacts.
Dental Plan Description
  • If you, and/or dependents, are enrolled in the dental program you may submit claims for reimbursement.  This plan will pay 100% of the first $200, and 50% after, up to a maximum of $800 per person of annual benefits.
  • All dental procedures are covered dental expenses if provided by or under the direction of a dentist licensed to practice by the state in which he or she practices.
  • If the dental process is covered by a medical plan (i.e. impacted wisdom teeth), it is not covered by the dental plan. Examples are surgery, prescription, accidents, and hospitalization.
How to Submit a Dental/Vision Claim
  • Each claim needs to have an itemized bill and proof of payment (a copy of a cleared check, a paid receipt or a charge card receipt).  Include the name of the employee and the patient on each bill and receipt.
  • If the claim has been partially paid by another insurance plan, attach a copy of the Explanation of Benefits and your proof of payment.
  • Submit claims to:
    Vision/Dental Claims or Benefits Office
    PO Box 520
    Bozeman, MT 59771
  • Vision and Dental expenses are to be submitted within one year of the date of service
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