PLAN FEATURES: (In-network or out-of-network) BEK PPO DENTAL PLAN (Available everywhere) BEK DHMO DENTAL PLAN (Available in Texas only) Annual deductible $50 individual/$150 family You must select a General dentist by calling MetLife after you enroll All care must be delivered or referred by your General dentist Pay a copay each time you receive care except for preventive services Maximum benefit per calendar year $2,000 per person Preventive services $0 for 2 exams and cleanings each calendar year, no deductible Basic services 20% after deductible Major services 50% after deductible Orthodontia benefit for children up to age 19 50% (up to a lifetime maximum benefit of $2,000) Dental  mybenefits.metlife.com or 800-942-0854 (800-880-1800 for DHMO Plan) Get comprehensive dental care from both plans. Go to bekbenefits.com for a complete list of features. Vision superiorvision.com or 800-507-3800 Go to bekbenefits.com for a complete list of features for the BEK Vision Plan. PLAN FEATURES (Available once every 12 months) IN-NETWORK—YOU PAY: Eye exams $10 copay Frames $20 copay + any amount over $130; Get a 20% discount if over $130 Lenses $20 copay Standard contact lens fitting $20 copay Contact lenses Any amount over $150 at a Superior Vision provider If you enroll in the PPO, you won’t receive an ID card. Your provider can look up your coverage using your date of birth and Social Security number. If you enrolled in the DHMO, you will receive an ID card within 2 weeks of your eligibility date. You won’t receive a dental ID card. Your provider can look up |your coverage using your date of birth and Social Security number.