Maximize Your Benefits With a Specialty Plan
2022 ACA Plan Comparison Guide | Iowa Small Group Plans
Attract and retain great employees by making your benefits package even more appealing by adding specialty plans.
Explore options available at no extra cost to you.
|Plan Details1||Option A||Option B|
|Benefit Year Maximum — Plan Pays||$1,500||$2,000|
|Benefit year Deductible2|
|Preventive & Diagnostic — member pays||20%||0%|
Including cavity repair, tooth extractions, restoration of decayed or fractured teeth, oral surgery and anesthesia
Including root canals, gum and bone disease, crowns, inlays, bridges and dentures
|Orthodontic lifetime maximum
(per child, up to age 19)
We also offer certain condition-specific benefits to at-risk members to improve their health by helping prevent complications from diseases in the mouth, gums, and teeth.
|Plan Details2||Avēsis 80||Avēsis 150|
|Eye Exam||Covered in full after $10 copay, every 12 months||Covered in full after $10 copay, every 12 months|
|Frames||Covered once every 24 months, after $25 materials copay; $80 retail allowance3||Covered once every 24 months, after $10 materials copay; $150 retail allowance3|
|Standard plastic lenses||One pair covered in full after materials copay, every 12 months||One pair covered in full after materials copay for adult polycarbonate, scratch-resistant coating, UV screening, standard tint, anti-reflective coating, every 12 months|
|Contact lenses||Covered up to allowance, every 12 months, in lieu of eyeglasses||Covered up to allowance, every 12 months, in lieu of eyeglasses|
|Lens Options||Up to 20 percent off polycarbonate, scratch-resistant coating, tint and UV protective coating||
|BONUS: Free hearing screening and reduced pricing on hearing devices through Amplifon Hearing Health CareTM|