Dental

Eastman provides a choice of two dental plans to you through BlueCross BlueShield of Tennessee (BCBST) – EastDent 1 and EastDent 2. Both of these plans cover preventive, restorative and orthodontia services. Payment for these benefits is through payroll deductions and eligibility follows the Eastman eligibility rules as set forth in our plan documents. 

DENTAL CARE SERVICES
  Preventive1 Restorative2 Orthodontia4
OPTIONS Plan Pays You Pay Plan Pays You Pay Annual Limit3 Plan Pays You Pay
EastDent 1 100%* 0% 50%* 50%* $1,200/person 50% $1,500/child
EastDent 2 80%* 20%* $1,800/person
  1. Preventive services - Include routine exams, cleanings and X-rays. Fluoride treatments for dependent children under age 19 are also       covered as a preventive service.
  2. Restorative Services – Include fillings, extractions, oral surgery, periodontics, crowns, dentures, and bridgework.
  3. Annual Limit – Applies to all services except orthodontia and implants.
  4. Orthodontia – Includes braces, retainers, and visits to the orthodontist for your dependent children under age 19.

*For in-network services, the member will NOT be held liable for balances above the negotiated amount allowed by the dental third-party administrator.

NOTE: For out-of-network services, plan reimbursements are based on an allowable expense which is the maximum dental charge considered reasonable and customary for a particular service in a particular geographic area. You are responsible for any amount that may be billed by the provider that is above reasonable and customary.

Vision

Eastman offers our employees and their eligible dependents vision insurance through BlueCross BlueShield of Tennessee. Our vision plan covers routine eye exams at 100% and also provides coverage for eyeglasses, contact lenses, and laser eye surgery.

Payment for these benefits is through payroll deductions and eligibility follows the Eastman eligibility rules as set forth in our plan documents.

VISION CARE SERVICES IN-NETWORK MEMBER COST OUT-OF-NETWORK ALLOWANCE
Exam with Dilation as Necessary:
Retinal Imaging:
$0 copay
Up to $39
$35
N/A
Exam Options:
(Contact lens and two follow-up visits are available once a comprehensive eye exam has been completed)
Standard Contact Lens Fit and Follow-Up:
Premium Contact Lens Fit and Follow-Up:
$0 Copay, Paid-in-Full Fit and two Follow-Up Visits
$0 Copay, 10% off Retail Prices, then apply $55 Allowance

$40

$40

Frames: $0 Copay; $120 Allowance
20% Off Balance Over Allowance
$60
Standard Plastic Lenses (once every 12 months)
Single Vision:
Bifocal:
Trifocal:
Standard Progressive (Add onto Bifocal):
Premium Progressive (Add onto Bifocal):

$0 copay
$0 copay
$0 copay
$65 Additional Copay

See Fixed Tier Price List

$40
$40
$55
$40
$40

Lens Options:
UV Coating
Tint (Solid and gradient)
Standard Scratch Resistance
Standard Polycarbonate - Adults
Standard Polycarbonate - Kids under 19
Standard Anti-Reflective Coating
Premium Anti-Reflective Coating
Photochromatic / Transitions Plastic
Other Lens Options
$15 Copay
$15 Copay
$15 Copay
$40 Copay
$40 Copay
$45 Copay
See Fixed Tier Price List
$75 Copay
20% Off Retail

N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A

Contact Lenses:
Conventional

Disposable
Medically Necessary

$15 Copay; $120 Allowance, 15% Off Balance Over Allowance
$15 copay; $120 allowance
$0 copay; paid-in-full

$85

$85
$200

Frequency:
Examination
Frame
Lenses or Contact Lenses
Once every 12 months
Once every 24 months
Once every 12 months
 

Diabetic Care Rider

BlueCross Vision - Insight