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THREE Benefit Plans for ONE Premium

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
UCR Charge

Elite Advantage
Member Pays

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
UCR-$145.99w/RxCut-$12.45

Cyclobenzapr Tab 10mg Generic 30ct
UCR-$45.99w/RxCut-$7.97

Fluoxetine Cap 20mg Generic 30ct
UCR-$37.99w/RxCut-$8.72

Amlodipine Tab 5mg Generic 30ct
UCR-$21.99w/RxCut-$8.52

Alprazolam Tab 0.25mg Generic 60ct
UCR-$17.99w/RxCut-$8.00

Laboratory Savings Examples:

Comprehensive Wellness Panel
UCR-$535.00w/RxCut-$97.00

General Health Panel
UCR-$83.00w/RxCut-$45.00

Thyroid Panel w/TSH
UCR-$174.00w/RxCut-$45.00

Imaging Savings Examples:

MRI
UCR-$1890.00w/RxCut-$855.00

CT Scan
UCR-$1068.00w/RxCut-$499.00

Customer Service & Pharmacy Help:
1-800-808-1213

Your RxCut Prescription Discount Card
benefit is FREE for our Elite members.
If you have any questions, please call
EHIS, Inc at 858-481-8990

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
Composite Filling

D2330

$80.00

$10.00

Deep Cleaning

D4341

$100.00

$40.00 PQD

Extraction

D7140

$80.00

$5.00

VISION


Non-Member
UCR Charge

Elite Advantage
Member Pays

Complete Eye Exam

 

$85.00

$0.00

Standard Single
Vision Lenses

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
Lenses Only

 

$20.00

$0.00

Scratchcote

 

$35.00 and up

$20.00

Frames

Every 12 months if needed

UCR

Up to $100.00
Retail Allowance

Contact Lenses

 

UCR

Various Co-pays

LASIK

 

UCR

Co-pays apply. See Terms of Agreement.

Annual Co-Payment

 

$20.00 per person

 

 

 


Monthly Premium

Member Only
Member + 1
Family

$52.80
$92.00
$137.90


DENTAL + VISION + Rx



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
UCR Charge

Supreme Plus
Member Pays

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
UCR-$145.99w/RxCut-$12.45

Cyclobenzapr Tab 10mg Generic 30ct
UCR-$45.99w/RxCut-$7.97

Fluoxetine Cap 20mg Generic 30ct
UCR-$37.99w/RxCut-$8.72

Amlodipine Tab 5mg Generic 30ct
UCR-$21.99w/RxCut-$8.52

Alprazolam Tab 0.25mg Generic 60ct
UCR-$17.99w/RxCut-$8.00

Laboratory Savings Examples:

Comprehensive Wellness Panel
UCR-$535.00w/RxCut-$97.00

General Health Panel
UCR-$83.00w/RxCut-$45.00

Thyroid Panel w/TSH
UCR-$174.00w/RxCut-$45.00

Imaging Savings Examples:

MRI
UCR-$1890.00w/RxCut-$855.00

CT Scan
UCR-$1068.00w/RxCut-$499.00

Customer Service & Pharmacy Help:
1-800-808-1213

Your RxCut Prescription Discount Card
benefit is FREE for our Elite members.
If you have any questions, please call
EHIS, Inc at 858-481-8990

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
Composite Filling

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
UCR Charge

Supreme Plus
Member Pays

Complete Eye Exam

 

$85.00

$0.00

Standard Single
Vision Lenses

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
Lenses Only

 

$20.00

$0.00

Scratchcote

 

$35.00 and up

$20.00

Frames

Every 24 months if needed

UCR

Up to $100.00
Retail Allowance

Contact Lenses

 

UCR

Various Co-pays

LASIK

 

UCR

Co-pays apply. See Terms of Agreement

Annual Co-Payment

 

$20.00 per person

 

 

 


Monthly Premium

Member Only
Member + 1
Family

$45.60
$79.90
$110.00

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
UCR Charge

Excel Plus
Member Pays

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
UCR-$145.99w/RxCut-$12.45

Cyclobenzapr Tab 10mg Generic 30ct
UCR-$45.99w/RxCut-$7.97

Fluoxetine Cap 20mg Generic 30ct
UCR-$37.99w/RxCut-$8.72

Amlodipine Tab 5mg Generic 30ct
UCR-$21.99w/RxCut-$8.52

Alprazolam Tab 0.25mg Generic 60ct
UCR-$17.99w/RxCut-$8.00

Laboratory Savings Examples:

Comprehensive Wellness Panel
UCR-$535.00w/RxCut-$97.00

General Health Panel
UCR-$83.00w/RxCut-$45.00

Thyroid Panel w/TSH
UCR-$174.00w/RxCut-$45.00

Imaging Savings Examples:

MRI
UCR-$1890.00w/RxCut-$855.00

CT Scan
UCR-$1068.00w/RxCut-$499.00

Customer Service & Pharmacy Help:
1-800-808-1213

Your RxCut Prescription Discount Card
benefit is FREE for our Excel Plus members.
If you have any questions, please call
EHIS, Inc at 858-481-8990

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
Composite Filling

D2330

$80.00

$25.00

Deep Cleaning

D4341

$100.00

$40.00 PQD

Extraction

D7140

$80.00

$19.00

VISION


Non-Member
UCR Charge

Excel Plus
Member Pays

Complete Eye Exam

 

$85.00

$0.00

Standard Single
Vision Lenses

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
Lenses Only

 

$20.00

$0.00

Scratchcote

 

$35.00 and up

$20.00

Frames

Every 12 months if needed

UCR

Up to $100.00
Retail Allowance

Contact Lenses

 

UCR

Various Co-pays

LASIK

 

UCR

Co-pays apply. See Terms of Agreement.

Annual Co-Payment

 

$20.00 per person

 

 

 


Monthly Premium

Member Only
Member + 1
Family

$57.00
$96.00
$138.00


DENTAL + VISION + Rx



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
UCR Charge

Super Smile Plus
Member Pays

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
UCR-$145.99w/RxCut-$12.45

Cyclobenzapr Tab 10mg Generic 30ct
UCR-$45.99w/RxCut-$7.97

Fluoxetine Cap 20mg Generic 30ct
UCR-$37.99w/RxCut-$8.72

Amlodipine Tab 5mg Generic 30ct
UCR-$21.99w/RxCut-$8.52

Alprazolam Tab 0.25mg Generic 60ct
UCR-$17.99w/RxCut-$8.00

Laboratory Savings Examples:

Comprehensive Wellness Panel
UCR-$535.00w/RxCut-$97.00

General Health Panel
UCR-$83.00w/RxCut-$45.00

Thyroid Panel w/TSH
UCR-$174.00w/RxCut-$45.00

Imaging Savings Examples:

MRI
UCR-$1890.00w/RxCut-$855.00

CT Scan
UCR-$1068.00w/RxCut-$499.00

Customer Service & Pharmacy Help:
1-800-808-1213

Your RxCut Prescription Discount Card
benefit is FREE for our Super Smile Plus members.
If you have any questions, please call
EHIS, Inc at 858-481-8990

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
Composite Filling

D2140

$80.00

$0.00

Deep Cleaning

D4341

$100.00

$15.00 PQD

Extraction Sgl.

D7140

$80.00

$0.00

VISION


Non-Member
UCR Charge

Super Smile Plus
Member Pays

Complete Eye Exam

 

$85.00

$0.00

Standard Single
Vision Lenses

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
Lenses Only

 

$20.00

$0.00

Scratchcote

 

$35.00 and up

$22.00

Frames

Every 12 months if needed

UCR

Up to $150.00
Retail Allowance

Contact Lenses

 

UCR

Various Co-pays

LASIK

 

UCR

Co-pays apply. See Terms of Agreement

Annual Co-Payment

 

$20.00 per person

 

 

 


Monthly Premium

Member Only
Member + 1
Family

$59.95
$108.00
$175.00

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 ]