ASBA Enrollment - Dental & Vision Benefits For Seniors

AMERICAN SENIOR BENEFITS ASSOCIATION

470-447-1999

P.O. Box 300777
Chicago, IL 60630

Endorsed by: American Senior Benefits Association. Underwritten by: Ameritas Life Insurance Corp and Vision Service Provider. Plans Marketed by: American Senior Benefits Association Austin, TX 78730.

Dental and Vision policies are not available in all states. Those states include, but are not limited to AK, DE, HI, ME, ND, NH, NJ, NY, RI, SD, VT.

Reimbursement percentages are based on the maximum plan allowance charges for services in your geographical area. All services are subject to limitations and exclusions. The master policy is governed by the laws of the state of IL.

Group dental products (9000 Rev. 03-16, dates may vary by state) and individual dental products (Indiv. 9000 Rev. 07-16, dates may vary by state) are issued by Ameritas Life Insurance Corp. (Ameritas Life). Some plan designs are not available in all areas. © 2018 Ameritas Mutual Holding Company. All other brands are property of their respective owners.

VSP guarantees service from VSP network doctors only. In the event of a conflict between this information and your organization’s contract with VSP, the terms of the contract will prevail. It is not a certificate of insurance and does not include exclusions and limitations. For exclusions and limitations, or a complete list of covered procedures, contact your benefits administrator.

NOTICE: Your actual expenses for covered services may exceed the stated coinsurance percentage because actual provider charges may not be used to determine plan and member payment obligations.

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