OBMSM Basic Specialty Option
With the OBM Basic Specialty Option, members receive insured preventive dental services, discounted vision services, and basic employee life. Please see below for a list of some of the benefits and services included.
In-Network : National Options PPO 20
|Preventive Care (teeth cleaning and x-rays)||100%||100%|
|Basic Care (filling, restorations, root canals, endodontics, periodontics, oral surgery)||0%||0%|
|Major Care (crowns, bridges and dentures)||0%||0%|
|Eye Exam||$10 copayment; every 12 months||Not available|
|Pediatric Eye Exam||Members ages 0-12 years of age will get an additional eye exam benefit. $10 Copayment; every 12 months||Not available|
|Frames||30% off retail frame price. 10% off at in-network Walmart locations||Not available|
|Lenses||$45/$65/$95 copayment||Not available|
|Contacts||20% discount||Not available|
|Materials Frequency||Unlimited||Not available|
$25,000 Employee Life Benefits
- Out-of-network benefits are paid based on UnitedHealthcare Dental's Maximum Allowable Charge (MAC) schedule.
Please note: This is a sample summary provided for informational purposes only. Coverage is subject to the terms and conditions of the Member Certificate or other applicable Member benefit information.