Delta Dental of Arizona is now offering a vision benefit for our Individual & Family Plan members. Protect your vision with DeltaVision and you can save on your eye care and eyewear needs.
To add vision to your existing Individual Plan dental coverage, click here.
Monthly Premium Rates
(DDAZ Individual Dental plan enrollment required) | Gold Vision Plan | | DeltaVision Individual | $4.73 | | DeltaVision + 1 Dependent | $9.46 | | DeltaVision + 2 or More Dependents | $20.27 |
| Vision Care Services |
Member Cost |
Out-Of-Network |
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| Exam with Dilation as necessary |
$10.00 copay |
Up to $30 allowance |
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| Frames |
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| Any Frame available at provider location |
$0 copay; $120 allowance
20% off balance over $120 |
Up to $60 allowance |
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| Standard Plastic Lenses |
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| Single Vision |
$10 copay |
$25 |
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| Bifocal |
$10 copay |
$40 |
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| Trifocal |
$10 copay |
$55 |
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| Standard Progressive ** |
$70 |
$40 |
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| Premium Progressive ** |
$70, 80% of charge
less $110 allowance |
$40 |
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| Lens Options |
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| Standard Plastic Scratch Coating |
$0 |
$5 |
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Contact Lenses
(discount applies to materials only) |
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| Conventional |
$0 copay; $80 allowance,
15% off balance over $80 |
Up to $64 |
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| Disposable |
$0 copay; $80 allowance,
plus balance over $80 |
Up to $64 |
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| Medically Necessary |
$0 copay, Paid-In-Full |
Up to $200 |
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| Frequency |
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| Examination |
Once every 12 months |
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| Frame |
Once every 12 months |
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| Lenses or Contact Lenses |
Once every 12 months |
** Standard/Premium Progressive lenses not covered
Additional Benefit Information
| Additional Discounts |
In-Network member Discount |
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| Exam Options |
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| Standard Contact Lens Fit and Follow up |
Up to $40 |
| Premium contact Lens Fit and Follow Up |
10% off Retail |
| Lens Options |
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| UV Treatment |
$12 |
| Tint(Solid and Gradient) |
$12 |
| Standard Polycarbonate |
$35 |
| Standard Anti-Reflective Coating |
$40 |
| Other Add-Ons and Services |
30% off Retail Price |
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Member receives a 30% discount on items not covered by the plan at network Providers, which cannot be combined with any other discounts or promotional offers. Discount does not apply to EyeMed provider's professional services, or contact lenses.
Members also receive 15% off retail price or 5% off promotional price for Lasik or PRK from the US Laser Network, owned and operated by LCA Vision.
Members also receive a 40% discount off complete pair eyeglass purchases and a 15% discount off conventional contact lenses once the funded benefit has been used. |
DeltaVision® is offered through Canyon Insurance Services, Inc., a wholly owned subsidiary of Delta Dental of Arizona, in partnership with EyeMed Vision Care, LLC.
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