Eastman provides a choice of two dental plans to you through BlueCross BlueShield of Tennessee (BCBST) – EastDent 1 and EastDent 2. Both of these plans cover preventive, restorative and orthodontia services. Payment for these benefits is through payroll deductions and eligibility follows the Eastman eligibility rules as set forth in our plan documents.
|DENTAL CARE SERVICES|
|OPTIONS||Plan Pays||You Pay||Plan Pays||You Pay||Annual Limit3||Plan Pays||You Pay|
- Preventive services - Include routine exams, cleanings and X-rays. Fluoride treatments for dependent children under age 19 are also covered as a preventive service.
- Restorative Services – Include fillings, extractions, oral surgery, periodontics, crowns, dentures, and bridgework.
- Annual Limit – Applies to all services except orthodontia and implants.
- Orthodontia – Includes braces, retainers, and visits to the orthodontist for your dependent children under age 19.
*For in-network services, the member will NOT be held liable for balances above the negotiated amount allowed by the dental third-party administrator.
NOTE: For out-of-network services, plan reimbursements are based on an allowable expense which is the maximum dental charge considered reasonable and customary for a particular service in a particular geographic area. You are responsible for any amount that may be billed by the provider that is above reasonable and customary.
Eastman offers our employees and their eligible dependents vision insurance through BlueCross BlueShield of Tennessee. Our vision plan covers routine eye exams at 100% and also provides coverage for eyeglasses, contact lenses, and laser eye surgery.
Payment for these benefits is through payroll deductions and eligibility follows the Eastman
eligibility rules as set forth in our plan documents.
|VISION CARE SERVICES||IN-NETWORK MEMBER COST||OUT-OF-NETWORK REIMBURSEMENT|
|Exam with Dilation as Necessary
(Once every 12 months)
|Retinal Imaging Discount||Up to $39||N/A|
|Standard Contact Lens Fit and Follow-up||$0 copay; paid-in-full fit and two follow-up visits||$40|
|Premium Contact Lens Fit and
|$0 copay, 10% off retail rice, then apply $40 allowance||$40|
|Frames (once every 24 months) Any available frame at provider location||$0 copay, $120 allowance, 20% off balance over $120||$60|
|Standard Plastic Lenses (once every 12 months)
Standard Progressive Lens
Premium Progressive Lens
Tint (Solid and gradient)
Standard Plastic Scratch Coating
Standard Polycarbonate - Adults
Standard Polycarbonate - Kids under 19
Standard Anti-Reflective Coating
20% off Retail Price
20% off Retail Price
Contact Lens (allowance includes materials only)
|$15 copay; $120 allowance, plus 15% off balance over $120
$15 copay; $120 allowance
$0 copay; paid-in-full
|Lasik or PRK from U.S Laser Network||15% off retail price or 5% off promotional price||N/A|
|Additional Pairs Benefit||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||N/A|
Lenses or Contact Lenses
|Once every 12 months
Once every 12 months
Once every 24 months