Dental and Vision Benefits
M-DENT Dental Plan
The University of Michigan is offering a dental plan to students and their dependents through the University of Michigan School of Dentistry. This is an optional prepaid plan. Coverage is for one year. There are no copayments, deductibles or claim forms to fill out. This plan emphasizes preventive care. This Plan is not underwritten by Aetna. These services are covered:
• Two cleanings and regular oral examinations per year;
• Fluoride treatment and sealants, as needed;
• Radiographs (X-rays), as needed for services provided;
• Three routine silver fillings or tooth colored fillings;
• Emergency temporary fillings;
• Emergency treatment for relief of pain.
Second Member: $185.00
Additional Member: $150.00
Visit the U of M website for additional information and to register at:
http://www.dent.umich.edu/M-Dent/ or call (734) 763-6933 or toll-free (888) 707-2500. You can register anytime during the course of the year.
Vital Savings on Dental by Aetna
Enroll online at www.chickering.com; click on “Find Your School”.
Student: $25
Student + 1 Dependent: $44
Student + 2 or more Dependents: $63
Vision Plan
University Health Service (UHS) will manage the vision benefit for those insured by the International Student/Scholar Health Insurance Plan. This service is not underwritten by Aetna. The UHS Eye Care Clinic will provide one (1) routine eye exam per Policy Year/per enrollee with a $15 Copay per exam as long as the individual is enrolled in the International Student/Scholar Health Insurance Plan at the time of service.
The routine eye exam will include:
• Refraction and dilation of the eyes
• Health history
• Check of the interior and exterior eye as well as surrounding area for defects, disease, and clarity of vision
• Eye coordination
• Color vision
• Depth perception
• Refractive error and field of vision
Not Included: Contact Lenses evaluation or fitting. Additional fees will be charged if these services are performed and will be the patient’s financial responsibility.
Vision Care Provider of Your Choice
In some instances you may need to use a Vision Care Provider other than UHS. UHS will reimburse the Policyholder when a routine eye exam is received outside of UHS at a Vision Care Provider of your choice. UHS will reimburse for one (1) routine eye exam per Policy Year /per enrollee not to exceed a benefit maximum of $30, after applying the $15 Copay per exam, and subject to UHS guidelines.
The reimbursement option is limited to:
• Infant/toddlers under three years of age
• Students/Scholars studying out of the Ann Arbor area
The University Health Service Eye Care Clinic is located at:
207 Fletcher Street
Ann Arbor, MI 48109-1050
http://www.uhs.umich.edu/dept/eyeclinic.html
For an appointment call: (734) 764-8325
Toll free (866) 386-0002
Vision One® Discount Program
The Vision One Discount Program helps you save on many eye care Discount Program products, including sunglasses, contact lenses, non-prescription sunglasses, contact lens solutions and other eye care accessories. Plus, you can receive up to a 25% discount on LASIK surgery (the laser vision correction procedure).
Call (800) 793-8616 for additional program information and provider locations, or simply log on to www.aetna.com/docfind to find a Vision One provider near you.