Optima Health Insurance
Retail Alliance Now Offer Value-Added Benefits with Optima Health Association Plans
Effective in early April, Retail Alliance members are now able to access health insurance plans offered by Optima Health. If you are a dues-paying member of Retail Alliance and have between 2 and 99 employees – you are eligible to receive Optima Health value-added* benefits for your employees and their families.
What are the value-added benefits?
Groups** receive these value-added benefits at no additional cost to the member when received from an in-network provider:
Annual gynecological exam and Pap test
• Annual mammogram and colorectal cancer screenings
• Routine prostate exam and prostate specific antigen (PSA) test
• Routine immunizations and well child care
• Flat co-pays for specialist office visits and outpatient surgery
• Additional Employee Assistance Program sessions
What is the cost?
There are no additional premiums for these value-added benefits. Once your company is insured by Optima Health at the determined premium level, indicate you are a member of Retail Alliance and these value-added benefits will be included in your plan at no additional premium cost.
What if we already offer Optima Health plans?
If you already offer an Optima Health plan, you can add these benefits to your plan at no additional cost. Contact your local agent for more information.
What if I don’t have 2 or more employees and still need coverage?
Optima Health can also meet your unique needs with Optima Individual health plans. To get a free quote, apply online or to get more information, please see contact information below.
How do I get more information?
Contact your local agent or Susan Bradshaw at TFA Benefits, (757) 390-2045. susanbradshaw@tfabenefits.com or Suzanne Stewart with Optima Health at (804) 901-1082 or visit us at www.optimahealth.com/associations
* Value-added refers to an enhanced benefit design compared to non-Association group plans.
** Groups in the Association program are individually underwritten.
Optima Health is the trade name of Optima Health plan and Optima Health insurance Company.
All Optima Health plans have benefit exclusions and limitations and terms under which policy may be continued in force or discontinued. For cost and complete details of coverage please contact Optima Health or log on to optimahealth.com or www.optimahealth.com/associations
Dominion Dental Insurance
Retail Alliance members have access to high-value dental and vision benefits through Dominion Dental Services!
Dental benefits include use of a network dentist or any dentist, and coverage for over 250 services, including orthodontia for adults and children.
Vision benefits include access to one of the largest vision networks in the country through EyeMed Vision Care - with more than 47,000 provider listings (over 5,500 in the Mid-Atlantic) including LensCrafters, Pearle Vision, Sears Optical and Target Optical.
Visit www.DominionDental.com/edental/ral to enroll today.
Dominion Vision Plan
Dominion Dental Services (Dominion) offers access to one of the largest vision networks in the country through EyeMed Vision Care - with more than 47,000 provider listings (over 5,500 in the Mid-Atlantic) including LensCrafters, Pearle Vision, Sears Optical and Target Optical.1 Plans include extensive coverage for eye exams, eyeglass lenses, frames and contact lenses, as well as discounts on LASIK laser vision correction. Dominion is your single source for competitive dental and vision plans!
What The Benefits Include:
Eye Examination
A routine, complete eye examination, refraction and prescription for eyeglasses. Contact lens examinations require additional fees. The vision provider may recommend additional procedures, which are the responsibility of the member.
Eyeglass Lenses
Standard uncoated plastic lenses of any size or power.
Frames
Any frame up to a regular retail value of $100. Frames above $100 retail are available at an additional charge.
Contact Lenses
Any pair of contact lenses up to a regular retail price of $100, obtained from a network provider or the mail order program. Contacts above $100 are available at an additional charge.
LASIK – Non-Insured Discount Benefit
This non-insured benefit is offered at savings of 15% off the regular retail price or 5% off the promotional price when using the network.
Out-of-Network Benefit
While 97% of visions benefi ts are obtained from network providers, services received out-of-network are paid according to a fixed schedule (see chart below).
Precision Rates (Monthly)
All rates are guaranteed for two years.
Voluntary
Single $10.03
Couple $17.52
Family $25.47