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VISION PLANS

Eyes keep people safe and help catch early signs of diabetes, cardiovascular diseases and other issues, so vision care is as important to overall health as a balanced diet and exercise. Keep your workforce healthy and choose from four plans that offer predictable costs and access to more than 37,000 eye care professionals.


In-Network Benefits (months)
Eye Exam Spectacle Lens Frame Contact Lens Contact Lens Evaluation, Fitting, Follow Up
Fashion I 12 12 24 12 12
Designer II 12 12 24 12 12
Premier Platinum III 12 12 24 12 12
Premier Platinum IV 12 12 12 12 12
Copayments
Eye Exam Spectacle Lens Contact Lens Evaluation, Fitting, Follow Up
Fashion I $10 $25 Not covered
Designer II $10 $20 $20
Premier Platinum III $10 $10 $10
Premier Platinum IV $10 $10 $10
Frame Collection1
Fashion (Up to $125) Designer (Up to $175) Premier (Up to $225) Non-Collection Frame Allowance2
Fashion I Included $15 copay $40 copay Up to $100
Designer II Included Included $25 copay Up to $130
Premier Platinum III Included Included Included Up to $150
Premier Platinum IV Included Included Included Up to $150
Eyeglasses Spectacle Lens Benefit
Clear plastic single-vision, lined bifocal, trifocal or lenticular lens ($60 - $120) Tinting of plastic lens ($20) Standard Progressive Lens ($150 - $190) Scratch Protection Plan: Single and Multifocal
Fashion I Included $15 $65 $20 | $40
discount 15% discount Included
Designer II Included Included $50 $20 | $40
discount 15% discount Included
Premier Platinum III Included Included Included $20 | $40
Premier Platinum IV Included Included Included $20 | $40
Collection Collection Contact Lens Benefits3 (In lieu of glasses)
Disposable4 Planned Replacement4 Evaluation, Fitting, Follow Up Materials Allowance
Fashion I Not covered Not covered Not covered Up to $100
discount
Designer II 4 boxes multi-packs 2 boxes / multi-packs Included Up to $130
discount
Premier Platinum III 8 boxes / multi-packs 4 boxes / multi-packs Included Up to $150
Premier Platinum IV 8 boxes / multi-packs 4 boxes / multi-packs Included Up to $150
Non-Collection Contact Lens
Materials Allowance Evaluation, Fitting, Follow Up (Standard lens type) Evaluation, Fitting, Follow Up (Specialty lens type) Medically Necessary Contact Lens (With prior approval)
Fashion I Up to $100 15%
discount
Designer II Up to $130 15%
discount
Premier Platinum III Up to $150 Included 15% discount Included
Premier Platinum IV Up to $150 Included Up to $60 allowance + 15% discount Included
Out-of-Network Reimbursement Schedule (up to):
Eye Exam Frame Single Vision Lens Bifocal/ Progressive Lens
Fashion I $30 $30 $25 $35
Designer II $30 $30 $25 $35
Premier Platinum III $30 $30 $25 $35
Premier Platinum IV $30 $30 $25 $35
Out-of-Network Reimbursement Schedule (up to):
Trifocal Lens Lenticular Lens Elective Contact Lens Medically Necessary Contact Lens
Fashion I $45 $60 $75 $225
Designer II $45 $60 $75 $225
Premier Platinum III $45 $60 $75 $225
Premier Platinum IV $45 $60 $75 $225

1 Collection frames are available at most participating independent provider offices.

2 Plus a 20% discount on any overage. Additional discounts not available at some provider locations.

3 Plus 15% discount on any overage.

4 Collection is available at most participating independent provider offices. Collection is subject to change. Collection is inclusive of select torics and multi-vocals.

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