Page 22 - Busey 2022 Benefits Guide
P. 22
Vision
Eye doctors detect problems in vision, overall eye health, and signs of other health conditions like diabetic
eye disease, high blood pressure, and high cholesterol. We know your eyesight is precious to you, so we
provide vision beneits to make sure your trip to the eye doctor is reasonably priced.
Guardian ofers associates comprehensive vision coverage through the Avesis network. Keep in mind,
the information in the chart provided is a summary only. Please refer to your Certiicate of Coverage
(COC) for complete details of plan beneits, limitations, and exclusions on the Beneits Portal. Visit
www.guardiananytime.com.
Guardian Vision plan participants have access to quality
In-Network Out-of-Network hearing care and savings on name brand hearing aids
Vision Exam and related technology.
Exam Copay $10 copay Amount over $59
Lenses Through EPIC Hearing Service Plan (HSP), Guardian ofers
Single Lens $25 copay Amount over $30 a program for managing hearing care and obtaining
Bifocal Lens $25 copay Amount over $50 brand name hearing aids through a national network of
Trifocal Lens $25 copay Amount over $65 preferred providers.
Frames Participant’s simply call EPIC Hearing at 866.956.5400 to
$130 allowance then start the process.
Frame Beneit 20% discount on Amount over $70
amount over allowance
Contacts Lenses
$130 allowance then
Elective 15% discount on Amount over $120 To Find a Vision Provider
amount over allowance 1. Go to www.guardiananytime.com
Visually $0 copay; Amount over $210 2. Select “Find a dental or vision provider” at the
Required paid-in-full bottom of the page
Frequency
Exam 12 months 12 months 3. Select “Find a vision provider”
Lenses 12 months 12 months 4. Select “Avesis” as the network
Contacts (in lieu 12 months 12 months
of glasses)
Frames 24 months 24 months
Bi-Weekly Rates
Associate Only $2.87
Associate + Spouse/Domestic Partner $5.43
Associate + Child(ren) $5.56
Family $7.52
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Eye doctors detect problems in vision, overall eye health, and signs of other health conditions like diabetic
eye disease, high blood pressure, and high cholesterol. We know your eyesight is precious to you, so we
provide vision beneits to make sure your trip to the eye doctor is reasonably priced.
Guardian ofers associates comprehensive vision coverage through the Avesis network. Keep in mind,
the information in the chart provided is a summary only. Please refer to your Certiicate of Coverage
(COC) for complete details of plan beneits, limitations, and exclusions on the Beneits Portal. Visit
www.guardiananytime.com.
Guardian Vision plan participants have access to quality
In-Network Out-of-Network hearing care and savings on name brand hearing aids
Vision Exam and related technology.
Exam Copay $10 copay Amount over $59
Lenses Through EPIC Hearing Service Plan (HSP), Guardian ofers
Single Lens $25 copay Amount over $30 a program for managing hearing care and obtaining
Bifocal Lens $25 copay Amount over $50 brand name hearing aids through a national network of
Trifocal Lens $25 copay Amount over $65 preferred providers.
Frames Participant’s simply call EPIC Hearing at 866.956.5400 to
$130 allowance then start the process.
Frame Beneit 20% discount on Amount over $70
amount over allowance
Contacts Lenses
$130 allowance then
Elective 15% discount on Amount over $120 To Find a Vision Provider
amount over allowance 1. Go to www.guardiananytime.com
Visually $0 copay; Amount over $210 2. Select “Find a dental or vision provider” at the
Required paid-in-full bottom of the page
Frequency
Exam 12 months 12 months 3. Select “Find a vision provider”
Lenses 12 months 12 months 4. Select “Avesis” as the network
Contacts (in lieu 12 months 12 months
of glasses)
Frames 24 months 24 months
Bi-Weekly Rates
Associate Only $2.87
Associate + Spouse/Domestic Partner $5.43
Associate + Child(ren) $5.56
Family $7.52
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