Dental and Vision

Quick Facts

✅ Available to employees eligible for NYSHIP participation

✅ Available even if you decline NYSHIP health insurance coverage

✅ 28-day waiting period applies

✅ Employee and dependent enrollment required

✅ Dental and vision coverage provided through the UUP Benefit Trust Fund (800-887-3863).

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Dental Coverage

Provider: Delta Dental of New York (group # 0165)

Phone: 800-471-7093

Website: Delta Dental UUP

Highlights:

• Participating provider network
• Dental claim form available online
• Coverage details available through the UUP Benefit Trust Fund

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Vision Coverage

Provider: Davis Vision

Phone: 888-588-4823

Website: Davis Vision

Highlights:

• Eye exam and eyewear benefit every 12 months
• One pair of covered eyeglasses available through participating providers
• Contact lens option available with applicable copayment
• Partial reimbursement available for non-participating providers
• Eligible dependent children covered until age 25 regardless of student status.

Quick Facts

✅ Available to employees eligible for NYSHIP participation

✅ Available even if you decline NYSHIP health insurance coverage

✅ 28-day waiting period applies

✅ Employee and dependent enrollment required

✅ Benefits provided through the CSEA Employee Benefit Fund

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Dental Coverage

Provider: CSEA Dental Plan

Phone: 800-323-2732

Website: CSEA Employee Benefit Fund

Highlights:

• Comprehensive exam and cleaning every 6 months
• Participating provider network available
• Partial reimbursement for non-participating providers
• Dependent children age 19-24 eligible if full-time students

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Vision Coverage

Provider: Davis Vision

Phone: 800-999-5431

Website: Davis Vision

Highlights:

• Adults: vision benefit every 24 months
• Children under age 19: every 12 months
• Eye exam and eyeglasses available through participating providers
• Contact lens option available
• Partial reimbursement for out-of-network providers
• Student verification required for eligible dependents ages 19-24

State employees represented by PEF, Management/Confidential (M/C), APSU, and NYSCOPBA are eligible for dental and vision benefits through New York State employee benefit programs. Review the information below for provider information, contact details, and helpful resources.

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Dental Coverage

Provider: Anthem Blue Cross

Phone: 833-821-1949

Website: NYS Dental Plan

Resources:

• Anthem Website and Provider Directory
• Anthem Dental Claim Form
• Out-of-Network Reimbursement Schedule
• Anthem Member Authorization Form

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Vision Coverage

Provider: Davis Vision

Phone: 888-588-4823

Website: Davis Vision

Resources:

• Davis Vision Provider Directory
• Davis Vision Website
• Out of Network Claim Form - Direct Reimbursement Claim Form
• HIPAA - Authorization for Disclosure of Protected Health Information
• Provider Nomination - New Provider / Optical Application Request Form

When does coverage begin?
For UUP and CSEA employees, coverage is available after a 28-day waiting period. Coverage is not automatic and enrollment with the applicable benefit fund is required. NYS Dental Plan employees must be employed in a benefits-eligible position for 28 days before this plan will pay any dental benefits. This benefit waiting period is determined by your employer. If you are a new employee eligible for coverage, your coverage will begin on the first day after you have completed your benefit waiting period.

Can I still enroll if I waive NYSHIP health insurance?
Yes. Eligible employees may still receive dental and vision benefits even if they choose not to enroll in NYSHIP health insurance coverage.

Are my dependents eligible?
Dependent eligibility varies by bargaining unit. Review your employee group's section above for specific dependent eligibility requirements.

Where can I find participating providers?
Participating provider directories are available through your dental and vision carriers. Review your employee group's section for provider websites and contact information.