YMCA of Metropolitan Denver

Health & Dental Insurance

Providing you and your family members a high quality health and dental insurance plans is the cornerstone of our employee benefits package.

Full-Time Employees Part-Time Employees

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Full-Time Employees

Medical & Dental Insurance

All full-time employees working 35 or more hours per week are offered the choice of two quality health plans for themselves and their family members. The YMCA feels that employees should have choice when it comes to their health insurance. Each employee has a choice between two Kaiser Permanente plans.

Each employee who elects one of the two medical insurance plans is automatically enrolled in the Aetna Dental Benefit Option. It is our hope that the Dental Benefit Option will help you an your covered dependents enjoy better health through regular dental care.

Medical Insurance

	Call 303-338-3800 for Member Services.
	Call 303-338-4503 for Pharmacy Transition Assistance.

Plan # 1 - Kaiser Permanente HMO - Plan Highlights

	Under the HMO plan employees and their dependents utilize Kaiser physicians and facilities conveniently located throughout the Denver metro area.
	19 full service medical office and 500+ physicians - most locations x-rays, lab services and pharmacy.
	Same-day appointments and evening and weekend office hours.
	24-hour nurse hotline.
	Vision exams covered through Kaiser facilities at regular office visit copay.
	For monthly premiums please contact Human Resources.
	Policy # 1117-001

Plan # 2 - Kaiser Permanente Triple Option - Plan Highlights

Under the POS plan you have full access to the HMO services provided by Kaiser (see above).

In addition, you can access the MMA/CCN Preferred Provider Network or any provider of your choice. Please Plan Highlights for details on benefit levels.

Policy # 1117-003

Dental Insurance

If you enroll in one of the two health plans plans above you are automatically enrolled in the Aetna Dental Plan.

Aetna Dental Benefit Option - Plan Highlights

	Free choice of Dentist.
	$50 individual annual deductible ($100 per family).
	$1,500 maximum per member annual benefit.
	Click Here to view and print an Aetna Dental Plan Highlights
	ORTHODONTIA BENEFIT FOR CHILDREN

Click Here to view and print a Dental Claim Form.

Click Here to view or print a Aetna dental plan summary.

Type of Coverage

Aetna Dentist

Non Network Dentist

Preventive Services - cleaning, x-rays & sealants
100% covered - 2 visit per year
100% covered - 2 visits per year

Basic Services - oral surgery, periodontics & endontics
85% after deductible
80% after deductible

Major Services - inlays, onlays, crowns, bridges
50% after deductible
50% after deductible

Orthodontia Services - children only 50% covered after separate deductible
50% covered after separate deductible

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Part-Time Employees

Eligible part-time employees are offered a comprehensive medical, dental and prescription drug plan. The YMCA values all employees and does share in the cost of the plan. Please e-mail or call Human Resources at 720-524-2715 if you are interested in participation in the plan.

Eligibility for participation is as follows:

	Must be 18 years or older.
	Must be in a regular position for a minimum of 90 days.
	Employee must be regularly scheduled for work 25 to 34 hours per week.

CNA - Continental Assurance Company

	Policy # 300840
	Member Services 800-800-8121

Plan Highlights:

	$7,500 maximum base medical benefits per year
	$15 copy on office visits for in-network doctor’s fees
	Coverage for you and your dependents.
	Eyewear and Prescription drug discount cards.
	Dental benefits included.
	$20,000 term-life insurance benefit

Click Here to view and print an enrollment form

Click Here to view and print a plan summary.

Click Here to view and print a change form

Click Here to view and print a Summary Plan Description.

NOTE: the above files are large and may take several minutes to open.

Phone Directory:

Medical, Dental and Term Life:

Benefits, Enrollment and Missed Premiums - 1-800-800-8121

Provider Referral - 1-800-362-4525

Claims Inquires - 1-800-869-0808

Prescription Drug Discount Card:

Participating Pharmacies - 1-800-506-2583

Eyewear Discount Card

To Locate Providers - 1-800-221-3272