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P r o m o t e,   U n i f y,   R e p r e s e n t,   &   E d u c a t e   t h e   F i r e   S e r v i c e   o f   T e x a s

Benefit SPOTLIGHT:
 

SFFMA's Endorsed Dental & Vision Plans!

Select the links on the right for detailed information, rates,
and enrollment forms

Dental Benefits Include:
 

 Freedom to use your own dentist; NO network required!

 You may choose an Ameritas Network provider and save up to 20-30%

 Your routine cleanings and exams are covered at 100% of the usual and customary rate with
     no deductible (once per 6 months)

 $75 Calendar Year deductible per person (only applies to basic and major services)

 $1,500 Calendar Year Maximum per person

 NO referral required for specialty care

 Dental Rewards - may enable your $1,500 Calendar Year Maximum to grow to $2,500

Dental Plan Highlights:
 

 Preventative Services: 100% coverage*

Oral exams (1 per 6 months)

Cleanings (1 per 6 months)   

 Basic Services: 80% coverage*

Fillings

Denture repairs

Perio-cleanings

X-Rays

Oral surgery (simple extractions)

 Major Services: 25% Coverage year 1 / 50% Thereafter*

Endodontics (root canals)

Periodontics (gum disease)

Crowns & crown repairs

Dentures

Oral surgery (complex extractions)

General anesthesia

 Orthodontia Services: 50% Coverage*

$1,000 Lifetime maximum per child

*Certain limitations and exclusions apply.

Vision Service Plan Highlights:

Exam covered in full...............................................................................................every 12 months
Prescription Glasses Lenses covered in full............................................................every 12 months
   Single vision, lined bifocal, and lined trifocal lenses. Frame......................................................................................................................every 24 months

   Frame of your choice covered up to $ 120.00.

   Plus, 20% off any out-of-pocket costs.

                                                                   - OR -

Contact Lens Care...................................................................................................every 12 months

When you choose contacts instead of glasses, your $120.00 allowance applies to the cost of your contacts and the contact lens exam (fitting and evaluation). This exam is in addition to your vision exam to ensure proper fit of contacts. If you choose contact lenses you will be eligible for a frame 12 months from the date the contact lenses were obtained. Current soft contact lens wearers may qualify for a special contact lens program that includes a contact lens evaluation and initial supply of replacement lenses. Learn more from your doctor or www.vsp.com/go/sffma.

Your Co-Pays:     Exam: $15            Lenses: $25            Contacts: None

You can visit SFFMA's main website at www.SFFMA.org