Loading...
HomeMy WebLinkAbout2026 Medical, Dental and Vision Rates**Please note there are 26 pay periods in 2026 Bi-Weekly Rates Employee Share Employer Share Total Rate Employee Share Employer Share Total Rate Employee Share Employer Share Total Rate Employee Share Employer Share Total Rate Employee Only $0.00 $625.13 $625.13 $0.00 $674.10 $674.10 $0.00 $695.96 $695.96 $0.00 $567.13 $567.13 Employee + 1 $74.39 $1,170.64 $1,245.03 $80.95 $1,267.72 $1,348.67 $82.77 $1,302.98 $1,385.75 $66.17 $1,052.41 $1,118.58 Employee + 2 or more $118.88 $1,496.95 $1,615.83 $128.98 $1,619.96 $1,748.94 $132.52 $1,667.76 $1,800.28 $105.93 $1,343.99 $1,449.92 Bi-Weekly Rates Employee Share Employer Share Total Rate Employee Only $0.00 $2.62 $2.62 Employee + 1 $2.36 $2.62 $4.98 Employee + 2 or more $4.70 $2.62 $7.32 Annual Deductible: Exam Lenses: Single Bifocal Trifocal Prosthodontics- Bridges, dentures and implants **Deductible is waived for Preventive and Diagnostic Services Eye Exam Lenses Frames $50 $70 *In lieu of frames Frequency of Services: 12 months 12 months 24 months 12 months 12 months 24 months 12 monthsContact Lenses* 12 months Otay Water District's vision provider is EyeMed. In-Network $25 Frames $130 allowance + 20% discount applied to balance over $130 allowance $91 Contact Lenses $130 allowance + 15% discount applied to balance over $130 allowance $91 Copay:Plan reimburses up to: $30 $10 $40 Out-of-Network $25 $25 Annual Plan Maximum (calendar year) Employee Share $0.00 $1.93 $4.40 $42.94$41.01 Employee + 1 Employee + 2 or more $26.88 DENTAL BENEFITS $63.57 Bi-Weekly Rates 2026 RATES AND BENEFITS-AT-A-GLANCE Employee Only Orthdontia Services (no age limit) Out-of-Network $2,000 per person 50% up to a $500 lifetime max benefit Major treatment such as crown, inlays, onlays, cast restorations, bridges, and dentures 50% up to a $500 lifetime max benefit 90% 60%50% 80% $150 100% Individual** (calendar year) Family** (calendar year) Basic treatment such as simple fillings and simple tooth extractions Preventive and diagnostic care such as routine exams, cleanings, X-rays, and sealants 60%50% MEDICAL BENEFITS Kaiser HMO 15Blue Shield (Gold) PPO Blue Shield Access+ HMO 15 Blue Shield EPO Otay Water District's dental provider is Delta Dental PPO. $26.88 VISION BENEFITS Employer Share Total Rate In-Network $50 $59.17 100% This Benefits At-A-Glance is intended to provide highlights of the benefit plan. Actual plan benefits and provisions are governed by the formal Plan Document.