NYSBN.com - Dental Insurance

Healthplex Dental Insurance: HEALTHPLEX PREFERRED
The "HEALTHPLEX PREFERRED" program will allow you to receive benefits while seeing your own dentist. If you prefer, the plan also offers "In-Network" benefits that offer additional savings. Please click on the link below to view the provider list of the "HEALTHPLEX PREFERRED" network.
Brochure [PDF] Provider List [website]
The rates for the HEALTHPLEX PREFERRED program are:
Single: $27.00 x 3 months = $81.00 plus $35.00 membership fee = $116.00
2 party: $48.00 x 3 months = $144.00 plus $35.00 membership fee = $179.00
Family: $65.00 x 3 months = $195.00 plus $35.00 membership fee = $230.00

Please Note: All plans start on the first of the month. All members will be billed quarterly for their premium payments.
As a member of th "HEALTHPLEX PREFERRED" Dental plan, you will be automatically enrolled in the "CO-Health Vision Program" at no extra charge. CO-Health is one of the finest discount vision programs available in the United States.

This vision program presently has over 10 million members in the United States and over 13,000 provider locations.
All of the "name" chains in the United States participate in the program including Pearle Vision, Cohen fashion Optical, Lenscrafters, Sterling Optical, For Eyes, Eye Masters and Sears. Thousands of independent Optometrists and Opticians also participate.
Discounts on eye exams and other services range from 20% to 60%.
You may select from any item in the store and get any option (scratch resistant, tint, etc.)
You can utilize the program as often as you wish.
The average savings on a pair of prescription eyeglasses is over $100.00
Contact lenses and designer sunglasses are also available at great savings.
Wherever you travel on business or pleasure, there is a Provider near you. Simply call the 800 number on the back of the card and the nearest office will be located for you.

A special network of Ophtalmologists is available to provide medical care at a 20% discount - Lasik Surgery is included.
The CO-Health Vision Plan gives you two important guarantees:
1. You will pay the lowest price for glasses anywhere in the United States, and;
2. If within 30 days of purchase, for any reason, you don't like your glasses, return them for a full refund or a new pair of eyeglasses, no questions asked.
To enroll in the "HEALTHPLEX PREFERRED" Dental Plan, (and to receive the CO-Health Vision Program at no extra charge), fill out the information on the form below.
Please be advised that in order to be effective for the first of any month, the application and payment must be received by the 15th of the previous month.
This plan is available to everyone, however, any individuals or groups of less than three persons, must also join the "New York Small Business Network" to receive this benefit.
If paying by check, fill out the Enrollment Form below, print it out, and mail it along with your check made payable to:
New York Small Business Network
790 New York Ave. Suite 101
Huntington, New York 11743

If you have any questions or would like additional information, e-mail stuart@nysbn.com or call us at 631-549-1300
HEALTHPLEX PREFERRED DENTAL PLAN --- ENROLLMENT FORM

First Name:

Last Name:

Date of Birth:

Social Security Number:

Address:

City:

State:

Zip Code:

Home Phone:

Office Phone:

E-mail:

If you would like to use the services of a participating Dentist, please enter the Dentist's Name and Code Number from our list of providers.

Dentist Name:

Dentist Code:

"HEALTHPLEX PREFERRED" Monthly Rate:

Single - $27.00/month
Two-Party - $48.00/month
Family - $65.00/month

In the box below, please list each Dependent, their relationship to you (spouse, son, daughter), and their Date of Birth (if Two-Party or Family coverage is selected):

Dependent's Name -- Relationship -- Date of Birth