October 2019

For employees of the BCI Unit of the New York State Police represented by the Police Investigators Association (PIA) who are enrolled in the EmblemHealth Preferred Dental Plan and Davis Vision Plan, their enrolled dependents and COBRA enrollees

Dental and Vision Benefits

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New York State Department of Civil Service, Employee Benefits Division, Albany, New York 12239 www.cs.ny.gov/employee-benefits PIA Dental/Vision 10/19

EmblemHealth Preferred Premier Dental PlanEffective January 1, 2020• Annual maximum benefit increases to $3,000.

The annual maximum benefit was previously $2,300.

• Maximum lifetime orthodontic benefit per covered dependent increases to $3,000. The maximum lifetime orthodontic benefit was previously $2,300.

• All composite (white) fillings are now covered.

• Dental implants are now covered, subject to a $600 limitation per implant.

If you have questions about your dental benefits, call EmblemHealth (underwritten by GHI) at 1-800-947-0101. New ID cards will be mailed to enrollees.

New York State Vision PlanAdministered by Davis VisionEffective January 1, 2020• Ultra/Digital progressive lenses

from participating providers are now covered, subject to a $90 copayment.

If you have questions about your vision benefits, call Davis Vision at 1-888-588-4823.