DENTAL & VISION

Pennsylvania Steel Company will continue to offer dental and vision coverages through Cigna.

DENTAL

Pennsylvania Steel Company offers two Dental Plans with Cigna to select. The Cigna Low Plan and Cigna High Plan are both part of Cigna’s Total Cigna DPPO network of providers. The annual deductibles under both plans are waived for preventive and orthodontia services. The benefit maximums under both plans are waived for preventive services.

In-Network Benefits
Low Plan
High Plan
Annual Deductible
Individual / Family
$50 / $150
$50 / $150
Annual Benefit Maximum
Class I, II, III Expenses
Year 1: $1,500
Year 2: $1,600
Year 3: $1,700
Year 4: $1,800
Year 1: $2,000
Year 2: $2,100
Year 3: $2,200
Year 4: $2,300
Class I: Preventative Services
Plan pays 100%
Plan pays 100%
Class II: Basic Services
Plan pays 80%
Plan pays 80%
Class III: Major Services
Not Covered
Plan pays 50%
Class IV: Orthodontia
For dependents under the age of 20
Not covered
Plan pays 50%
Orthodontia Lifetime Maximum
N/A
$1,500
Summary of Benefit Coverages - Low Plan
Summary of Benefit Coverages - High Plan
Dental Costs
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VISION

Pennsylvania Steel Company's Vision Plan through Cigna provides coverage for eye exams, glasses, or contacts. If you are enrolling in the medical benefit you will automatically be enrolled in the Vision benefit.

Services & Frequency
In-Network
Out-of-Network
Exam Frequency
Once every 12 months
Once every 12 months
Eyeglasses (Lenses & Frames) or Contact Lenses Frequency
Once every 12 months
Once every 12 months
Frames Frequency
Once every 24 months
Once every 24 months
Eye Exam
$10 copay
Up to $45 allowance
Materials Copay
$25 copay
N/A
Frames
$130 allowance plus 20% off remaining balance
Up to $71 allowance
Single Vision Lenses
Covered in full after copay
Up to $32 allowance
Bifocal Lenses
Covered in full after copay
Up to $55 allowance
Trifocal Lenses
Covered in full after copay
Up to $65 allowance
Lenticular Lenses
Covered in full after copay
Up to $80 allowance
Elective Contact Lenses
$100 allowance
Up to $87 allowance
Medically Necessary Contact Lenses
Covered in full
Up to $210 allowance
HealthyRewards Savings Program
Find a Vision Provider

Employee Contributions

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