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|
[ home ] :: [ two for one ] :: [ three for one ] :: [ coverage ] :: [ dental providers ] :: [ vision providers ] :: [ applications ] |
Here is only a sample of Dental, Vision and Rx benefits of the Elite Advantage program.
Click here or scroll down to see a sample of the Supreme Plus program benefits.
Click here or scroll down to see a sample of the Excel Plus program benefits.
Click here or scroll down to see a sample of the Super Smile Plus program benefits.
For a complete list of programs, view the Coverage page.
For the most current updates, please contact EHIS, Inc. at (858) 481-8990
|
DENTAL |
ADA Code |
Non-Member |
Elite Advantage |
RxCut Savings Plan |
|
Office Visit |
D9430 |
$35.00 |
$0.00 |
The RxCut Card helps you save money even when your medical prescription insurance does not offer coverage. Present your RxCut Card for instant savings on generic and name brand drugs. Imaging and laboratory services are available as well as pet medications. The RxCut Card is accepted at: A&P,
Albertsons, Costco, CVS, Kmart, Kroger, Pathmark, Publix, Rite Aid,
Superfoods, Target, Vons, Walgreens, Waldbaums, Walmart and Winn Dixie. Prescription Savings Examples: Lamotrigene Tab 150mg Generic 30ct Cyclobenzapr Tab 10mg Generic 30ct Fluoxetine Cap 20mg Generic 30ct Amlodipine Tab 5mg Generic 30ct Alprazolam Tab 0.25mg Generic 60ct Laboratory Savings Examples: Comprehensive Wellness Panel General Health Panel Thyroid Panel w/TSH Imaging Savings Examples: MRI CT Scan Customer Service & Pharmacy Help: Your RxCut Prescription Discount Card |
|---|---|---|---|---|
|
Oral Exam |
D0150 |
$47.00 |
$0.00 | |
|
X-Rays |
D0210 |
$90.00 |
$0.00 | |
|
Porcelain Crown |
D2751 |
$600.00 |
$105.00 | |
|
Std. Cleaning |
D1110 |
$60.00 |
$0.00 | |
|
Ant. Root Canal (EFR) |
D3310 |
$380.00 |
$45.00 | |
|
Resin Based |
D2330 |
$80.00 |
$10.00 | |
|
Deep Cleaning |
D4341 |
$100.00 |
$40.00 PQD | |
|
Extraction |
D7140 |
$80.00 |
$5.00 | |
|
VISION |
|
Non-Member |
Elite Advantage | |
|
Complete Eye Exam |
|
$85.00 |
$0.00 | |
|
Standard Single |
Every 12 months if needed |
$79.00 |
$0.00 | |
|
Lined Bi-Focals |
Every 12 months if needed |
$129.00 |
$0.00 | |
|
Lined Tri-Focals |
Every 12 months if needed |
$159.00 |
$0.00 | |
|
Progressive Lenses |
|
$215.00 |
$115.00 (generic) | |
|
Thin Lens |
|
$60.00 and up |
$45.00 sv | |
|
Tint #1 Plastic |
|
$20.00 |
$0.00 | |
|
Scratchcote |
|
$35.00 and up |
$20.00 | |
|
Frames |
Every 12 months if needed |
UCR |
Up to $100.00 | |
|
Contact Lenses |
|
UCR |
Various Co-pays | |
|
LASIK |
|
UCR |
Co-pays apply. See Terms of Agreement. | |
|
Annual Co-Payment |
|
$20.00 per person | ||
|
|
|
| ||
|
|
Member Only |
$52.80 | ||
|
| ||||
Below is a sample of Dental, Vision and Rx benefits of the Supreme Plus program.
For a complete list of programs, view the Coverage page.
For the most current updates, please contact EHIS, Inc. at (858) 481-8990
|
DENTAL |
ADA Code |
Non-Member |
Supreme Plus |
RxCut Savings Plan |
|
Office Visit |
D9430 |
$35.00 |
$0.00 |
The RxCut Card helps you save money even when your medical prescription insurance does not offer coverage. Present your RxCut Card for instant savings on generic and name brand drugs. Imaging and laboratory services are available as well as pet medications. The RxCut Card is accepted at: A&P, Albertsons, Costco, CVS, Kmart, Kroger, Pathmark, Publix, Rite Aid, Superfoods, Target, Vons, Walgreens, Waldbaums, Walmart and Winn Dixie. Prescription Savings Examples: Lamotrigene Tab 150mg Generic 30ct Cyclobenzapr Tab 10mg Generic 30ct Fluoxetine Cap 20mg Generic 30ct Amlodipine Tab 5mg Generic 30ct Alprazolam Tab 0.25mg Generic 60ct Laboratory Savings Examples: Comprehensive Wellness Panel General Health Panel Thyroid Panel w/TSH Imaging Savings Examples: MRI CT Scan Customer Service & Pharmacy Help: Your RxCut Prescription Discount Card |
|---|---|---|---|---|
|
Oral Exam |
D0150 |
$47.00 |
$0.00 | |
|
X-Rays |
D0210 |
$90.00 |
$0.00 | |
|
Porcelain Crown |
D2751 |
$600.00 |
$156.00 | |
|
Std. Cleaning |
D1110 |
$60.00 |
$0.00 | |
|
Ant. Root Canal (EFR) |
D3310 |
$380.00 |
$80.00 | |
|
Resin Based |
D2330 |
$80.00 |
$14.00 | |
|
Molar R/C (EFR) |
D3330 |
$600.00 |
$140.00 | |
|
Teeth Wh. per arch |
D9872 |
$395.00 |
$125.00 | |
|
VISION |
|
Non-Member |
Supreme Plus | |
|
Complete Eye Exam |
|
$85.00 |
$0.00 | |
|
Standard Single |
Every 12 months if needed |
$79.00 |
$0.00 | |
|
Lined Bi-Focals |
Every 12 months if needed |
$129.00 |
$0.00 | |
|
Lined Tri-Focals |
Every 12 months if needed |
$159.00 |
$0.00 | |
|
Progressive Lenses |
|
$215.00 |
$115.00 (generic) | |
|
Thin Lens |
|
$60.00 and up |
$45.00 sv | |
|
Tint #1 Plastic |
|
$20.00 |
$0.00 | |
|
Scratchcote |
|
$35.00 and up |
$20.00 | |
|
Frames |
Every 24 months if needed |
UCR |
Up to $100.00 | |
|
Contact Lenses |
|
UCR |
Various Co-pays | |
|
LASIK |
|
UCR |
Co-pays apply. See Terms of Agreement | |
|
Annual Co-Payment |
|
$20.00 per person | ||
|
|
|
| ||
|
|
Member Only |
$45.60 | ||
|
DENTAL + VISION + Rx | ||||
Below is a sample of Dental, Vision and Rx benefits of the Excel Plus program.
For a complete list of programs, view the Coverage page.
For the most current updates, please contact EHIS, Inc. at (858) 481-8990
|
DENTAL |
ADA Code |
Non-Member |
Excel Plus |
RxCut Savings Plan |
|
Office Visit |
D9430 |
$35.00 |
$0.00 |
The RxCut Card helps you save money even when your medical prescription insurance does not offer coverage. Present your RxCut Card for instant savings on generic and name brand drugs. Imaging and laboratory services are available as well as pet medications. The RxCut Card is accepted at: A&P,
Albertsons, Costco, CVS, Kmart, Kroger, Pathmark, Publix, Rite Aid,
Superfoods, Target, Vons, Walgreens, Waldbaums, Walmart and Winn Dixie. Prescription Savings Examples: Lamotrigene Tab 150mg Generic 30ct Cyclobenzapr Tab 10mg Generic 30ct Fluoxetine Cap 20mg Generic 30ct Amlodipine Tab 5mg Generic 30ct Alprazolam Tab 0.25mg Generic 60ct Laboratory Savings Examples: Comprehensive Wellness Panel General Health Panel Thyroid Panel w/TSH Imaging Savings Examples: MRI CT Scan Customer Service & Pharmacy Help: Your RxCut Prescription Discount Card |
|---|---|---|---|---|
|
Oral Exam |
D0150 |
$47.00 |
$0.00 | |
|
X-Rays |
D0210 |
$90.00 |
$0.00 | |
|
Porcelain Crown |
D2751 |
$600.00 |
$165.00 | |
|
Std. Cleaning |
D1110 |
$60.00 |
$0.00 | |
|
Ant. Root Canal (EFR) |
D3310 |
$380.00 |
$100.00 | |
|
Resin Based |
D2330 |
$80.00 |
$25.00 | |
|
Deep Cleaning |
D4341 |
$100.00 |
$40.00 PQD | |
|
Extraction |
D7140 |
$80.00 |
$19.00 | |
|
VISION |
|
Non-Member |
Excel Plus | |
|
Complete Eye Exam |
|
$85.00 |
$0.00 | |
|
Standard Single |
Every 12 months if needed |
$79.00 |
$0.00 | |
|
Lined Bi-Focals |
Every 12 months if needed |
$129.00 |
$0.00 | |
|
Lined Tri-Focals |
Every 12 months if needed |
$159.00 |
$0.00 | |
|
Progressive Lenses |
|
$215.00 |
$115.00 (generic) | |
|
Thin Lens |
|
$60.00 and up |
$45.00 sv | |
|
Tint #1 Plastic |
|
$20.00 |
$0.00 | |
|
Scratchcote |
|
$35.00 and up |
$20.00 | |
|
Frames |
Every 12 months if needed |
UCR |
Up to $100.00 | |
|
Contact Lenses |
|
UCR |
Various Co-pays | |
|
LASIK |
|
UCR |
Co-pays apply. See Terms of Agreement. | |
|
Annual Co-Payment |
|
$20.00 per person | ||
|
|
|
| ||
|
|
Member Only |
$57.00 | ||
|
| ||||
Below is a sample of Dental, Vision and Rx benefits of the Super Smile Plus program.
For a complete list of programs, view the Coverage page.
For the most current updates, please contact EHIS, Inc. at (858) 481-8990
|
DENTAL |
ADA Code |
Non-Member |
Super Smile Plus |
RxCut Savings Plan |
|
Office Visit |
D9430 |
$35.00 |
$0.00 |
The RxCut Card helps you save money even when your medical prescription insurance does not offer coverage. Present your RxCut Card for instant savings on generic and name brand drugs. Imaging and laboratory services are available as well as pet medications. The RxCut Card is accepted at: A&P, Albertsons, Costco, CVS, Kmart, Kroger, Pathmark, Publix, Rite Aid, Superfoods, Target, Vons, Walgreens, Waldbaums, Walmart and Winn Dixie. Prescription Savings Examples: Lamotrigene Tab 150mg Generic 30ct Cyclobenzapr Tab 10mg Generic 30ct Fluoxetine Cap 20mg Generic 30ct Amlodipine Tab 5mg Generic 30ct Alprazolam Tab 0.25mg Generic 60ct Laboratory Savings Examples: Comprehensive Wellness Panel General Health Panel Thyroid Panel w/TSH Imaging Savings Examples: MRI CT Scan Customer Service & Pharmacy Help: Your RxCut Prescription Discount Card |
|---|---|---|---|---|
|
Oral Exam |
D0150 |
$47.00 |
$0.00 | |
|
X-Rays |
D0210 |
$90.00 |
$0.00 | |
|
Porcelain Crown |
D2751 |
$600.00 |
$70.00 | |
|
Std. Cleaning |
D1110 |
$60.00 |
$0.00 | |
|
Ant. Root Canal (EFR) |
D3310 |
$380.00 |
$34.00 | |
|
Resin Based |
D2140 |
$80.00 |
$0.00 | |
|
Deep Cleaning |
D4341 |
$100.00 |
$15.00 PQD | |
|
Extraction Sgl. |
D7140 |
$80.00 |
$0.00 | |
|
VISION |
|
Non-Member |
Super Smile Plus | |
|
Complete Eye Exam |
|
$85.00 |
$0.00 | |
|
Standard Single |
Every 12 months if needed |
$79.00 |
$0.00 | |
|
Lined Bi-Focals |
Every 12 months if needed |
$129.00 |
$0.00 | |
|
Lined Tri-Focals |
Every 12 months if needed |
$159.00 |
$0.00 | |
|
Progressive Lenses |
|
$215.00 |
$115.00 (generic) | |
|
Thin Lens Poly C S/V |
|
$60.00 and up |
$48.00 | |
|
Tint #1 Plastic |
|
$20.00 |
$0.00 | |
|
Scratchcote |
|
$35.00 and up |
$22.00 | |
|
Frames |
Every 12 months if needed |
UCR |
Up to $150.00 | |
|
Contact Lenses |
|
UCR |
Various Co-pays | |
|
LASIK |
|
UCR |
Co-pays apply. See Terms of Agreement | |
|
Annual Co-Payment |
|
$20.00 per person | ||
|
|
|
| ||
|
|
Member Only |
$59.95 | ||
|
DENTAL + VISION + Rx | ||||
* UCR = The Usual, Customary and Reasonable fees.
Application for Membership
|
[ home ] :: [ two for one ] :: [ three for one ] ::[ coverage ] :: [ dental providers ] :: [ vision providers ] :: [ applications ] |
w/RxCut-$12.45