LTCDV-WYG 11|16

Dental Vision Savings Plan

This plan includes...

Dental Discounts Members may take advantage of savings offered by an industry leader in dental care. Careington International Corporation is one of the most recognized professional dental networks in the nation and boasts one of the largest dental networks nationally with a focus on neighborhood dentists. Careington networks are a leader in member-transparent pricing with robust fee schedules.

Careington Dental Plan Features y Save 20% to 50% on most dental procedures including routine

oral exams, unlimited cleanings, and major work such as dentures, root canals, and crowns

y 20% savings on orthodontics including braces and retainers for children and adults

y 20% reduction on specialist’s normal fees. Specialties include: Endodontics, Oral Surgery, Pediatric Dentistry, Periodontics, and Prosthodontics where available

y Cosmetic dentistry such as bonding and veneers also included y All dentists must meet highly selective credentialing standards

based on education, background, license standing and other requirements

y Members may visit any participating dentist on the plan and change providers at any time

Description *RegularCost

**Plan Cost

$ Savings

% Savings

Adult Cleaning $126 $59 $67 53%

Child Cleaning $89 $43 $46 52%

Routine Checkup $73 $30 $43 59%

Four Bitewing X-rays $85 $38 $47 55%

Composite (White) Filling $201 $91 $110 55%

Crown (porcelain fused to noble metal) $1,424 $742 $682 48%

Complete Upper Denture $2,047 $985 $1,062 52%

Molar Root Canal $1,382 $718 $664 48%

Extraction (single tooth) $240 $100 $140 58%

* Regular cost is based on the national average of the 80th percentile usual and customary rates as detailed in the 2015 FairHealth Report in the Los Angeles, Orlando, Chicago and New York City metropolitan statistical areas.** These fees represent the average of the assigned Careington Care Platinum Series PPO fees in the Los Angeles, Orlando, Chicago and New York City metropolitan statistical areas.Prices subject to change.

Sample Dental Savings

Disclosures: THIS PLAN IS NOT INSURANCE and is not intended to replace health insurance. This plan does not meet the minimum creditable coverage requirements under M.G.L. c.111M and 956 CMR 5.00. This plan is not a Qualified Health Plan under the Affordable Care Act. This is not a Medicare prescription drug plan. The range of discounts will vary depend-ing on the type of provider and service. The plan does not pay providers directly. Plan members must pay for all services but will receive a discount from participating providers. The list of participating providers is at www.careington.com/co/ltc. A written list of participating providers is available upon request. You may cancel within the first 30 days after receipt of membership materials and receive a full refund, less a nominal processing fee (nominal fee for MD residents is $5, AR and TN residents will be refunded processing fee). Discount Medical Plan Organization and administrator: Careington International Corporation, 7400 Gaylord Parkway, Frisco, TX 75034; phone 800-441-0380.This plan is not available in Vermont or Washington.

The Dental Vision Savings Plan gives you the care you need to see clearly and smile brightly. Save on most routine and major dental care, as well as eye exams, glasses, contact lenses, LASIK and more. Since this is not insurance, everyone is accepted, there are no forms to fill out and you can use your discounts as many times as you want.

Medical Information - Dental OnlyeDocAmerica (Dental Only) offers members free and unlimited email access to dentists who will answer questions related to:

y General Dentistry y Dentistry Drug Interactions y Children and Dentists y Cosmetic Dentistry

All questions are personally answered by a dentist with most responses to questions arriving within a few short hours.

Members can get questions answered, make better decisions and live healthier with eDocAmerica.

This product is not available in MA.

Also included in this plan...

Vision DiscountsVSP Vision Savings Pass is a discount vision program that offers savings on eye care and eyewear. With the best choices in eyewear, VSP makes it easy to find the perfect frame that’s right for you. Choose from great brands like Anne Klein, bebe®, Calvin Klein, Flexon®, Lacoste, Nike, Nine West, and more.* Members receive:

y Access to discounts through a trusted, private-practice VSP doctor

y One rate of $50 for eye exams** y 15% savings on contact lens exams*** y Special pricing on complete pairs of

glasses and sunglasses y Unlimited use on materials throughout the year y Exclusive Member Extras and special offers.

*Brands subject to change**This cost is only available with the purchase of a complete pair of prescription glasses; otherwise you’ll receive 20% off an eye exam only.***Applies only to contact lens exam, not materials. You’re responsible for 100% of the contact lens material cost.This plan is not insurance.Not available in WA.

LASIK DiscountsQualSight LASIKServing you with choice, quality and savings.

y Members will receive savings of 40% to 50% off the overall national average cost for Traditional LASIK surgery through QualSight or receive significant savings on newer procedures like Custom Bladeless (all laser) LASIK.

y QualSight has more than 800 locations, so members can choose the provider and the LASIK procedure that meets their vision care needs.

y QualSight is contracted with credentialed and experienced physicians who have collectively performed over 4 million procedures

The QualSight program is not an insured program. Product not available in MT

Service Reduced prices and savings

WellVision Exam®

y $50 with purchase of a complete pair of prescription glasses.

y 20% off without purchase.

y Once every calendar year.

Retinal Screening y Guaranteed pricing with WellVision Exam, not to exceed $39.

Lenses

With purchase of a complete pair of prescription glasses:

y Single vision $40 • Lined trifocals $75

y Lined bifocals $60 • Polycarbonate for children $0

Lens Enhancements

y Average savings of 20-25% on lens enhancements such as progressive lenses, and scratch-resistant and anti-reflective coatings.

Frames y 25% savings when a complete pair of prescription

glasses is purchased.

Sunglasses y 20% savings on unlimited non-prescription sunglasses from any

VSP doctor within 12 months of your last WellVision Exam.

Contact Lenses y 15% savings on contact lens exam (fitting and evaluation).

Laser Vision Correction

y Average 15% off the regular price or 5% off the promotional

price; discounts only available from contracted facilities.