Dental and Vision Coverage
One (1) routine adult (age 19 and older) vision exam is covered per policy year at 100%. Adult (age 19 and older) vision hardware is not a covered benefit. Pediatric vision (ages 0-18) coverage is limited to one (1) routine eye exam per policy year and one (1) pair of lenses and one (1) frame per policy year at no cost (covered at 100%). Contact PacificSource at 1 (855) 274-9814 for more information on the Pediatric Vision benefit.
The Lewis & Clark Student Health Insurance Plan does not cover routine dental care for anyone age 19 or older. There is a pediatric dental benefit for insured’s under the age of 19. For more information regarding the pediatric dental benefit contact PacificSource at 1 (855) 274-9814.
There is dental coverage for all ages for injury to sound natural teeth or removal of impacted wisdom teeth through the medical plan. After the annual deductible has been met, eligible benefits for dental injury or removal of impacted wisdom teeth are covered at 80% of actual charge.
For students who wish to purchase additional dental insurance, PacificSource Health Plans offers several individual dental options to consider. For plans, prices and enrollment go to https://www.pacificsource.com/Dental/. This is available to all Lewis & Clark students to purchase, regardless if whether they are enrolled in the Lewis & Clark Student Health Insurance Plan or not. Students can enroll at any time and coverage is typically effective the 1
or the 15
of the month, depending on the enrollment date. In order to enroll, students should reach out to a coverage advisor at 855-330-2792 or email CoverageAdvisors@