Dental Plan

Delta Dental of Ohio is SERS’ dental plan provider.

The Delta Dental plan gives you access to two large networks of participating dentists: Delta Dental PPO and Delta Dental Premier.

Your costs will be lower if your dentist is in the PPO network. Visit www.deltadentaloh.com/sersohio.

Eligibility and Enrollment

To sign up for dental coverage, you have to be eligible for, but you do not have to be enrolled in, SERS’ health care coverage.
You must enroll in dental coverage in order to enroll your spouse and/or children.

You can enroll:

  • When you retire or begin receiving a disability benefit
  • Within 31 days of involuntary termination of another dental plan
  • During the biennial open enrollment period

The 2024-2025 enrollment period ends December 31, 2025, regardless of your effective date of coverage. Once enrolled in the dental plan, you must remain enrolled through December 31, 2025, and pay the monthly premiums.


Identification Cards

You will receive ID cards from Delta Dental of Ohio about 5 days prior to the effective date of your coverage.
If your ID cards do not arrive by the effective date and you need medical services, please contact our office.


2024-2025 Dental Premiums

PREMIUMS

Benefit recipient

$30.37

Benefit recipient and one dependent*

$60.74

Benefit recipient and two or more dependents*

$91.35

*A dependent can be a spouse or a child


Dental Coverage Highlights

DELTA DENTAL COVERAGE
Benefit year – January 1 through December 31

 

Plan Documentation Prevails

PPO DENTIST

PREMIER DENTIST

NON-PARTICIPATING DENTIST

DIAGNOSTIC AND PREVENTIVE

(no deductible)

Exams, cleanings, fluoride, emergency pain relief, sealants, brush biopsy, bitewing and full-mouth X-rays

100%

80%

80%

BASIC SERVICES ($50 deductible applies)

Minor restorative services, including fillings, periodontics, other X-rays, and other basic services

80%

60%

60%

MAJOR SERVICES ($50 deductible applies)

Repair to individual crowns, molar root canals, oral surgery services, crowns and veneers; relines and repairs to bridges, dentures, and implants; prosthodontic services for bridges, implants, and dentures

50%

40%

40%

* When you receive services from a nonparticipating dentist, the percentages listed indicate the portion Delta Dental will pay for those services. The nonparticipating dentist fee paid by Delta may be less than what your dentist charges, and you are responsible for the difference.


Maximum Coverage

$1,500 per person per calendar year


Provider Payment

Network dentists have agreed to accept Delta’s negotiated prices for various services. The percentages on the chart below show how much the plan pays. When a service is not covered at 100%, you pay the remaining portion.

Network dentists cannot charge you more than Delta’s negotiated prices. A non-participating dentist who charges more than the payment schedule can bill you the difference.


Locating a Network Dentist

To locate a network dentist near you:

  • Call your dentist’s office and ask if your dentist participates in the Delta Dental PPO or Premier network
  • Call Delta Dental’s customer service department at 1-800-524-0149
  • Visit Delta Dental’s online directory at www.deltadentaloh.com/sersohio, and click on the “Find a Dentist” icon

Vision Plan

Vision coverage is offered through VSP Vision Care, which is the nation’s largest eye care plan provider.

The VSP plan also provides savings on hearing aids through TruHearing. Visit truhearing.com/vsp or call 1-833-414-5674 for more information.

 

Eligibility and Enrollment

To sign up for vision coverage, you have to be eligible for, but you do not have to be enrolled in, SERS’ health care coverage.
You must enroll in vision coverage in order to enroll your spouse and/or children.

You can enroll:

  • When you retire or begin receiving a disability benefit
  • Within 31 days of involuntary termination of another vision plan
  • During the biennial open enrollment period

The 2024-2025 enrollment period ends December 31, 2025, regardless of your effective date of coverage. Once enrolled in the vision plan, you must remain enrolled through December 31, 2025, and pay the monthly premiums.


Identification Cards

VSP does not issue ID cards. VSP providers confirm benefit information when you make an appointment.


2024-2025 Vision Premiums

PREMIUMS

Benefit recipient

$6.17

Benefit recipient and one dependent*

$12.34

Benefit recipient and two ore more dependents*

$14.49

* A dependent can be a spouse or a child


Provider Choices

  • VSP Preferred Providers
    • If you see a VSP preferred provider, your out-of-pocket costs will be lower. To find a VSP provider, visit vsp.com or call VSP at 1-800-877-7195.
  • Non-Network Providers
    • You can choose any provider, national retailer, or local retail chain. However, if you see a non-network provider, your costs will be higher. If a non-network provider charges more than VSP allows, the provider can bill you the difference.

Vision Plan Highlights

Coverage with VSP Doctors and Affiliate Providers* Coverage Effective January 1, 2024

SERVICES

DESCRIPTION

CO-PAY

FREQUENCY

WellVision Exam

Focuses on your eyes and overall wellness

$10

Every calendar year

Prescription Glasses

$25

See frame and lenses

Frame

  • $200 allowance for a wide selection of frames
  • $220 allowance for featured frame brands
  • 20% savings on the amount over your allowance
  • $200 Walmart/Sam’s Club frame allowance
  • $100 Costco frame allowance

Included in prescription glasses

Every other calendar year

Lenses

Single vision, lined bifocal, and lined trifocal lenses

Included in prescription glasses

Every calendar year

Lens Options

  • Impact-resistant lenses
  • Standard progressive lenses
  • Premium progressive lenses
  • Custom progressive lenses
  • Average 30% off other lens options
  • $0
  • $0
  • $50
  • $50

Every calendar year

Contacts (instead of glasses)

  • $150 allowance for contacts; co-pay does not apply
  • Contact lens exam (fitting and evaluation)

Up to $60

Every calendar year

* Coverage with a retail chain affiliate may be different. Once your coverage is effective, visit vsp.com for details. Coverage information is subject to change. In the event of a conflict of information, the terms of the VSP contract will prevail.

Before You Call: Answers to Frequently Asked QuestionsCLICK HERE