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Your
2007 Dental and Vision Care Program
Dear Member,
Enclosed please find your 2007 Dental and
Vision Care Program Brochure Summary Plan
Description. As previously advised, the
SAMBA Dental and Vision Care Program now
provides coverage for orthodontic treatment
and enhanced PPO benefits.
Beginning January 1, 2007, both the DMO and
Alternate Plan options include orthodontic
coverage for adults and children. Plus,
under the Alternate Plan, increased benefit
levels apply when you visit a dentist
participating in the Aetna PPO network. The
enhanced plan benefits are outlined below.
Both
DMO and Alternate Plan Options
Orthodontic Benefits – In 2007 both
plan options will include orthodontic
benefits, with no deductible, for adults and
children. The DMO plan option has no waiting
period and no lifetime maximum. The
Alternate Plan option has a $1,500 per
person/per lifetime maximum and a 12 month
waiting period from the date of your
enrollment in the Plan.
Alternate
Plan Option – Increased PPO Benefits
In-Network Benefits – In 2007 the
Alternate Plan option will include increased
benefits when you visit a dentist
participating in Aetna's PPO network.
In-network benefit levels will be increased
to 100% for preventive services, such as
office visits, teeth cleaning, and X-rays.
PPO benefits will be increased to 75% for
Basic Services, such as amalgam
restorations, root canal therapy, and
periodontal treatments.
Take a moment to review the enclosed Dental
and Vision Care brochure and remember, you
can switch between plan options anytime
throughout the year – the choice is always
yours. Should you have any questions, please
contact a SAMBA Group Plans Representative
at (800) 638-6589.
Sincerely,

Walter E. Wilson
Executive Director
Visit
our Web SIte at www.sambaplans.com |