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Dental, Vision and Hearing Benefits

Dental Benefits*

The following preventive dental services are covered at no cost to you:

  • Most diagnostic x-rays
  • Oral exam every six months
  • Teeth cleaning every six months
  • Topical fluoride

Discounts are provided for other dental services.

Locate a Participating Dentist

Note: Select "Federal & Postal Employee Health Benefit" under the "Program" drop-down menu.

You may also contact Avesis Dental by calling 1-888-729-7949 for more information. Representatives are available Monday through Friday from 7 a.m. to 8 p.m.

Vision Benefits

Routine vision examination benefits through UPMC Vision Advantage are included as part of your UPMC Health Plan enrollment at no cost to you.

  • Adults are covered for one eye exam every 24 months. Children 18 years old and younger are covered for one eye exam every 12 months.
  • A 20 percent discount for prescription eyewear (excluding contact lenses) is available at participating providers.

To use your eye examination benefit, call us at 1-877-648-9641 (Monday through Friday: 7 a.m. to 7 p.m. EST; Saturday: 8 a.m. to 3 p.m. EST) to locate a vision care provider or use our provider search tool.

Dental benefits and the discount for prescription eyewear are neither offered nor guaranteed under contract with the FEHB program, but they are available to all members enrolled with UPMC Health Plan.

Hearing Benefits

The Standard Option HMO plan includes a hearing benefit through Amplifon Hearing Health Care. Your benefit allowance is $1,325 per ear for adults 21 years old and older as explained in more detail below. Services under this hearing health benefit are only available using participating providers in Amplifon Hearing Health Care’s Network. Additionally, your hearing health benefit may only be used on eligible hearing aids. An Amplifon Hearing Health Care participating provider will review the list of eligible hearing aids with you during your appointment.

To obtain services from Amplifon Hearing Health Care, you must schedule an appointment with an Amplifon Hearing Health Care participating provider by calling Amplifon Hearing Health Care toll-free at 1-866-973-9810. An Amplifon Hearing Health Care Patient Advocate will explain the Amplifon Hearing Health Care process, request your mailing information, and help you make an appointment with an Amplifon participating provider near you. The program specifics are listed below.

Item/Service Description/Frequency Member Cost
Hearing exam1 Eligible with an Amplifon Participating Provider once every 36 months $0
Hearing aid evaluation test2 Once every 36 months $0
Conformity evaluation3 Once every 36 months $0
Covered hearing aids (including dispensing fee) Eligible hearing allowance of $1,325 per ear every 36 months

Premium, Advanced, Standard, and Basic

Please contact Amplifon to identify the hearing aid products available to you.
Any remainder over your $1,325 per ear allowance
Initial Hearing Aid(s) fitting Initial fitting and programming of purchased Hearing Aid(s) Included in allowance
Follow-up visits 1 year of free follow-up care after purchase (limited to adjustments, cleaning, programming) $0
Batteries 2-year supply of free batteries $0
Warranty and replacement devices 3-year warranty: repair and one-time replacement due to loss or damage (deductible may apply)

Please contact Amplifon for information regarding warranty eligibility and applicable deductible(s).
$0
60-day hearing aid trial period 100% money-back guarantee if you are not completely satisfied. No restocking or return fees. $0 (additional charges may apply if hearing aid(s) is exchanged for a more expensive hearing aid(s))
Warranty and replacement devices – loss and damage 3-year warranty: repair and one-time replacement due to loss or damage (deductible may apply).

Please contact Amplifon for information regarding warranty eligibility and applicable deductible(s).
$0

For answers to any additional questions you may have, you can view our Amplifon FAQ*.

*These benefits are neither offered nor guaranteed under contract with the FEHB program, but are made available to all enrollees and family members who become members of UPMC Health Plan.

1A hearing exam is performed to establish your range of hearing. Specialized test equipment is used to determine if you have hearing loss, the cause of your hearing loss, the degree of hearing loss in each ear, and the best treatment options for your hearing loss.

2A hearing aid evaluation test is performed in order to determine which hearing aid(s) you may require.

3A conformity evaluation is performed to measure and quantify hearing aid function and benefit.

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Attention

It is important to know that when you enroll in this plan, services are provided through UPMC Health Plan's participating providers as described in UPMC Health Plan's federal brochure — but the continued participation of any one doctor, hospital, or other provider cannot be guaranteed.

Continue to UPMC Health Plan online provider search
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