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417-208-9006

Missouri Optometric Association DVH

Missouri Optometric Association DVH

Dental, Vision, Hearing

  • About
    • MOA DVH Value
    • Board Members
  • Plan Information
    • Plan Benefits
    • Premiums
    • Examples of Potential Savings
    • FAQs
  • Find a Provider
    • Find an Optometry Provider
    • Find a Dental Provider
  • Claims
    • File a Claim Online
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    • Dental Claim Form PDF
    • Vision Claim Form PDF
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Examples of Potential Savings

Maximize Your Value and Savings

By seeing an approved MOA DVH provider for vision care and Preferred Plus providers for dental care, additional savings may be available.

Vision Care Savings

By selecting an approved MOA DVH provider for vision care, you will see additional savings. After you meet your $100 deductible (and as long as you have sufficient benefits available for your policy year), then the office will accept as full payment from ManhattanLife with no additional cost to you for:

  • Eye Exam
  • Refraction
  • Prescribed vision lenses, either single, bifocal, trifocal, or progressive
  • Anti-reflective or Non-Glare
  • Polycarbonate lenses (thinner, lighter, impact-resistance)
  • Frames (up to $250 retail value)
    • Your provider can help you and give you additional information on cost savings for more expensive frames.

Items that do not fall into these categories (i.e. specialty lenses) such as transition lenses or extra thin lenses will be the patient’s responsibility at the regular office price.

Example #1 (MOA – Vision Care)

  • Patient has sufficient funds available from their maximum allowed benefits ($1,000 or $1,500 depending on the plan)
  • Patient has met $100 deductible
  • Patient sees an approved MOA provider
ItemCost
Exam & Refraction$140.00
Frame$185.00
Single vision lenses (no bifocal)$70.00
Poly lenses (thinner, lighter, impact resistant)$50.00
Non-glare treatment$125.00
Total Retail Value$570.00

Patient Out-of-Pocket Expenses Comparison

MOA DVHPopular Plan #1Common Plan #2
$0.00$195.00$161.00

Example #2 (MOA – Vision Care)

  • Patient has sufficient funds available from their maximum allowed benefits ($1,000 or $1,500 depending on the plan)
  • Patient has met $100 deductible
  • Patient sees an approved MOA provider
ItemCost
Exam & Refraction$140.00
Frame$250.00
Single vision lenses (no bifocal)$70.00
Poly lenses (thinner, lighter, impact resistant)$50.00
Non-glare treatment$125.00
Total Retail Value$635.00

Patient Out-of-Pocket Expenses Comparison

MOA DVHPopular Plan #1Common Plan #2
$0.00$247.00$224.00

Dental Care Savings
Preferred Plus Provider

By selecting an approved Preferred Plus provider for dental care, you will see additional savings. After you meet your $100 deductible (and as long as you have sufficient benefits available for your policy year), then the office will accept as full payment from ManhattanLife with no additional cost to you for:

  • Exam
  • Prophylaxis (Cleaning)
  • Basic Bitewing X-rays

Example #1 (Preferred Plus – Dental Care)

  • Patient has sufficient funds available from their maximum allowed benefits ($1,000 or $1,500 depending on the plan)
  • Patient has met $100 deductible
  • Patient sees an approved Preferred Plus provider
ItemCost
Exam$50.00
Prophylaxis (Cleaning)$80.00
4 Bitewing X-ray$62.00
Total Retail Value$192.00

Patient Out-of-Pocket Expenses = $0.00

For additional examples and comparisons with popular dental plans, please see the FAQ Dental section.

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