FAQs

Eligibility

The Cambridge Public Employees Dental and Vision Fund is for eligible members, retirees, and their dependents who meet the Fund Policy requirements below:

  • Your Spouse
  • Your unmarried dependent children up to age 19, or if enrolled as a full-time student in a college or post-secondary school, up to age 25. 
  • Totally disabled, handicapped, and mentally disabled children regardless of age; as long as they are claimed on your federal tax return.

To learn about eligibility requirements, click on the links below.

Most employees are enrolled in the Fund’s Plan automatically when they first become eligible. Employees at Cambridge Health Alliance must enroll during open enrollment or when they first start working and become initially eligible. Learn about eligibility for active employees and retirees.

If you or your dependent loses eligibility for Fund coverage, you or your dependent maybe eligible to continue coverage through COBRA Continuation Coverage. If you are a retiree and lose coverage, you may self-pay for retiree coverage.

At certain points in your life, you may add a dependent through marriage or the birth of a child. You may also lose a dependent through divorce or if your child is no longer eligible for coverage due to age. These are examples of special enrollment period qualifying events. If adding a dependent, your dependent will be covered by the Fund (if you and your dependent are eligible). If you lose a dependent, that dependent may be able to continue coverage. You should contact the Fund Office as soon as you know of any change in dependent status.

Married employees who are both eligible for the Cambridge Dental & Vision Fund Plan cannot have two individual plans.  Either you or your spouse must elect Family coverage. There is no additional cost for Family coverage.  Please contact your benefits department for more information.

Benefits

The Fund’s Plan covers many routine and advanced dental and vision services.

You can see a list of covered dental services here or by visiting Delta Dental’s website.

You can see a list of covered vision services here.

Delta Dental administers your dental benefits. You can see your dental claims on Delta Dental’s website. You must log in to your account in order to see your claims. If you have not set up an account, click on “Members” under “Log In to Your Account” on the right-hand side of the page. You can then register as a new member.

The Fund administers your vision benefits. You are reimbursed for vision services and do not receive claims. To get information on your vision benefit reimbursements, contact the Fund Office.

You typically pay less when you visit a dental provider who participates in the Delta Dental network. To find a participating provider, visit Delta Dental’s website.

All eligible vision providers—except for International Optical providers—are considered participating providers. An eligible vision provider is any licensed ophthalmologist, optometrist and optician.

Delta Dental is able to reprocess any outstanding claims within twelve months from the date of service.

Vision Claims must be submitted within twelve months from the date of service and in its entirety for vision reimbursement.

Vision claims can either be mailed or emailed to the Fund Office.  Make sure to sign and complete all steps on vision claim form; and attach all required documentation including paid itemized bills, receipts, and proof of payment.

Mailing Address:

Cambridge Public Employees Dental & Vision Fund                                                                                                                 100 CambridgePark Drive, Suite 101
Cambridge, MA 02140

Email Address:                                                                                                       

visionclaim@cdvfund.org

PDF format only on emailed vision claims - must include scanned claim form, paid itemized bills, receipts, and proof of payment.                                                                                                      

The Fund

You can contact the Fund by emailing, sending a message using the contact form, calling, faxing or by visiting the Fund Office. Find details on how to contact the Fund here.

The Fund Office is located at:

100 CambridgePark Drive
Suite 101
Cambridge, MA 02140

Retiree/COBRA Coverage

Federal law mandates that you be offered COBRA at the time of your retirement. Under the federal COBRA guidelines, loss of coverage due to retirement is a qualifying event. Once COBRA ends you will then be eligible to enroll under the Funds Annual Retiree Benefit Plan.

Yes, as long as you maintain continuous coverage and were covered under COBRA as a retiree.  Non-Retiree COBRA(s) are not eligible for the Annual Retiree Buy-In Plan.  The Annual Retiree Buy-In Plan is only eligible to retiree after their COBRA Retiree plan ends.

See Retiree Eligibility for more information.

NO, dependents cannot be add on your COBRA or Annual Buy-In Retiree Plan. Dependents are not covered under your continuation coverage as a retiree or COBRA unless they were already covered as an eligible dependent while you were covered as an active employee.