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.
| Dental | In-Network : National Options PPO 20 |
Out-of-Network (MAC)1 |
|---|---|---|
| Preventive/Basic/Major Coinsurance |
100%/0%/0% | 100%/0%/0% |
| Annual Maximum | $1000 | $1000 |
| Deductible (Single/Family) | $0/$0 | $0/$0 |
| 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% |
| Vision | In-Network |
Out-of-Network |
|---|---|---|
| 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 |
Benefits include
$25,000 Employee Life Benefits