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Dental and Vision

Discover your options.

Your dental and vision benefits give you the support you need to maintain your overall health and well- being.

Dental Icon

When You Can Enroll
You can elect dental benefits within 31 days of becoming benefits eligible, during Open Enrollment, or within 31 days of a Qualifying Life Event.

What to Know

  • All employees have access to two Delta Dental plans (Standard PPO and Enhanced PPO).
    • The Enhanced PPO Plan provides you with additional benefits such as a higher calendar year maximum, adult orthodontia, a lower deductible, and higher coinsurance for certain services with Delta PPO dentists.
  • If you are in Southern California, you also have the ability to select a DHMO through MetLife. With this plan:
    • You must select a participating dentist to provide or coordinate all of your dental care.
    • You can only receive services from dental providers who are contracted with the plan.

 

Your Dental Plan Options

DHMO (MetLife)
(Southern CA employees only)
Standard PPO (Delta Dental) Enhanced PPO (Delta Dental)
Delta PPO Provider Delta PPO Provider Delta Premier and Non-Delta Providers* Delta PPO Provider Delta Premier and Non-Delta Providers*
Individual Deductible None None $60 $25 $60
Calendar Year Maximum Per Person None None $2,000 $2,200 $1,700
Copays/Coinsurance
Preventive/Diagnostics No copay 100%, no deductible 100%, no deductible 100%, no deductible 100%, no deductible
General Services
(such as fillings, root canals, and sealants)
No copay 80% after deductible 55–90% after deductible, depending on service 80% after deductible 60% after deductible
Major Services
(crowns, dentures, implants, and extractions)
Copays vary by services 80% after deductible 50% after deductible 50% after deductible 60% after deductible
Orthodontia $1,450 for comprehensive orthodontic treatment (adults and children over age 14) 50% after deductible; up to $1,000 lifetime maximum (children under age 19) 50% after deductible; up to $2,000 lifetime maximum (children under age 19)

* Out-of-network providers may bill members for the difference between the provider’s full charges and the amount paid by the plan.

 

Employee Only Employee + Child(ren) Employee + Spouse Employee + Family
Delta Dental PPO (Standard)
(All locations)
$13 $28 $32 $51
Delta Dental PPO (Enhanced)
(All locations)
$17 $36 $41 $65
MetLife DHMO
(Southern CA only)
$2 $4 $5 $10

Dental Plan Provider: Delta Dental
Delta Dental is one of Caltech’s dental plan providers. Set up an account to view coverage details, check claim status, print ID cards, and find in-network dentists.

Website: deltadentalins.com/caltech

Download the mobile app:
download appledownload-google

Phone: (800) 765-6003 (M-F, 6 a.m.-6 p.m. PT)


Dental Plan Provider: MetLife
MetLife is one of Caltech’s dental plan providers. Set up an account to view coverage details, check claim status, print ID cards, and find in-network dentists.

Website: metlife.com/info/caltech

Download the mobile app:
download appledownload-google

Phone: (800) 880-1800 (M-F, 6 a.m.- 8 p.m. PT)

When You Can Enroll
You can elect vision benefits within 31 days of becoming benefits eligible, during Open Enrollment, or within 31 days of a Qualifying Life Event.

What to Know

  • Coverage includes eye exams, glasses, contact lenses, and other discounts.
  • You can use VSP or non-VSP providers, but you’ll receive greater coverage and lower costs with VSP providers.

Your Vision Plan

Service Cost – VSP Providers Cost – Non-VSP Providers
Routine Eye Exam
Once every calendar year
$5 copay $5 copay then the plan pays up to $45
Frames
Once every other year
Plan pays up to:
$175 for retail frames
$195 for feature frame brand
$175 for Walmart/Sam’s Club
$95 for Costco equivalent

20% discount on any amount over the allowance

Plan pays up to $70
Lenses
Once every calendar year
Included in eye exam copay

Single vision, lined bifocal, and lined trifocal are covered in full.
Polycarbonate lenses covered for dependent children.
Standard Progressives are covered in full for everyone.

Plan pays up to:
$30 for single vision
$50 for lined bifocal
$60 for lined trifocal
Contact Lenses
(Once every calendar year, in lieu of glasses and frame)
Up to $60 copay for contact lens exam (fitting and evaluation)
Necessary contacts covered in full.
Elective contacts up to $150 plan allowance.
Plan pays up to $105
Laser Vision Correction Discounts through VSP Not covered
Employee Only Employee + Child(ren) Employee + Spouse Employee + Family
VSP
(All locations)
$2.36 $3.54 $3.52 $6.90

*Please note: Premium cost sharing for Caltech for medical, dental, and vision plans is limited to individuals either receiving a monthly compensation of $1,000 paid by Caltech or having designated external funding as a Caltech allowance for this purpose. This usually applies to postdoctoral scholars and visiting associates.

Vision Plan Provider: VSP
VSP is Caltech’s vision plan provider. Set up an account to view your benefit information, access your claims history, view and print ID cards, find a VSP network doctor, and see exclusive member extras.

Website: caltech.vspforme.com/

Download the mobile app:
download appledownload-google

Phone: (800) 877-7195 (M-F, 6 a.m.-8 p.m. PT)

Plan Summaries and Resources
For full details, please review the plan documents.