Dental
Shields Health offers a choice of dental plans with different benefit levels and costs, so you can choose the one that works best for you.
You can enroll in dental coverage as a new hire, during Open Enrollment, or if you have a qualifying life event.
Key features
Our dental coverage through BCBSMA provides:
Free in-network preventive and diagnostic care
to help keep your teeth healthy.
Affordable coverage
that helps you manage the cost of dental treatment.
Wide network of dental providers
that have agreed to negotiated rates, which helps you save money. Refer to the plan details below for more information about your costs for dental treatment.
Dental coverage details
| In-network benefits* | Low Plan | High Plan |
|---|---|---|
| Individual/family deductible | $25 / $75 | $50 / $150 |
| Annual maximum benefit | $750 | $1,500 |
| Services | ||
| Preventive | You pay $0 | You pay $0 |
| Basic | You pay 25%, plan pays 75% after deductible | You pay 20%, plan pays 80% after deductible |
| Major | Not covered | You pay 50%, plan pays 50% after deductible |
|
Orthodontia
(coinsurance/lifetime maximum)
|
Not covered | You pay 50%, plan pays 50% ($1,500 lifetime maximum) |
*Note: If you visit an out‐of‐network provider, you are responsible for any charges above the usual, customary, and reasonable (UCR) limits.
How much does Shields Health's dental coverage cost?
You pay for dental coverage through before-tax premiums from your paycheck. The amount you pay will depend on which plan you choose and whether you cover just yourself or family members, too. You can view your plan costs on the Documents page.
Access your dental plan online
Visit the BCBSMA website or download the mobile app to find an in-network dentist, review claims, check coverage details, and more.
Vision
Vision coverage helps you save money on eligible vision care expenses such as eye exams, glasses, and contact lenses. You can enroll in vision coverage as a new hire, during Open Enrollment, or if you have a qualifying life event.
Key features
Our vision coverage through EyeMed provides:
Routine eye exams
covered in full with only a small copay charged to you.
Coverage for eyeglasses or contact lenses
so you can choose the method of vision correction you prefer.
Wide network of vision care providers
saving you money with more generous in-network benefits. In-network providers will also bill your insurance directly, saving you the trouble of submitting claims for reimbursement.
Member discounts
on a variety of products and services, such as laser vision correction surgery.
Vision coverage details
| In-network benefits | EyeMed |
|---|---|
| Exam | Once every 12 months; $20 copay |
| Prescription glasses | $20 copay (See Lenses, Lens enhancements, and Frames for details) |
| Lenses | Once every 12 months |
| Single vision | $20 copay |
| Lined bifocal | $20 copay |
| Lined trifocal | $20 copay |
| Lens enhancements | Once every 12 months |
| Standard progressive lenses | $70 copay |
| Premium progressive lenses | $90–$115 copay |
| Custom progressive lenses | $70 copay; 20% off retail price less $120 allowance |
| Frames | Once every 12 months
|
|
Contact lenses
(instead of glasses)
|
Once every 12 months
|
How much does Shields Health's vision coverage cost?
You pay for vision coverage through before-tax premiums from your paycheck. The amount you pay will depend on which plan you choose and whether you cover just yourself or family members, too. You can view your plan costs on the Documents page.
Access your vision plan online
Visit the EyeMed website or download the mobile app to find an eye doctor, learn about discounts, review claims, and more.