Page 14 - Waterjet Holdings- OE Guide 2015
P. 14
Vision Coverage
Your Comprehensive Eye Care Coverage
Find an In-Network You have the opportunity to elect vision coverage through EyeMed. Eye
Provider doctors detect problems in vision, overall eye health, and detect signs of
1. Visit www.eyemed.com other health conditions like diabetic eye disease, high blood pressure, and
high cholesterol. We know your eye sight is precious to you so we provide
2. Click on “Find a Provider”
near the top of the vision beneits to make sure your trip to the eye doctor is reasonably priced.
homepage
In-Network Out-of-Network
3. Fill in all search criteria to Copay
locate an in-network provider Exam $10 copay
near you
Lenses
Single $10 copay $29 allowance
Bifocal $25 copay $23 allowance
Trifocal $25 copay $23 allowance
Lenticular $25 copay $64 allowance
Frames
$130 allowance $46 allowance
Contacts
Medically Necessary Paid in full $210 allowance
Conventional $130 allowance $100 allowance
Disposable $130 allowance $100 allowance
Frequency
Exam 12 months
Lenses 12 months
Contacts (in lieu of glasses) 12 months
Frames 24 months
Cost of Coverage
Monthly Vision Contributions
Employee $5.46
Employee + Spouse $8.88
Employee + Child(ren) $8.88
Family $14.55
Waterjet Holdings 14
Your Comprehensive Eye Care Coverage
Find an In-Network You have the opportunity to elect vision coverage through EyeMed. Eye
Provider doctors detect problems in vision, overall eye health, and detect signs of
1. Visit www.eyemed.com other health conditions like diabetic eye disease, high blood pressure, and
high cholesterol. We know your eye sight is precious to you so we provide
2. Click on “Find a Provider”
near the top of the vision beneits to make sure your trip to the eye doctor is reasonably priced.
homepage
In-Network Out-of-Network
3. Fill in all search criteria to Copay
locate an in-network provider Exam $10 copay
near you
Lenses
Single $10 copay $29 allowance
Bifocal $25 copay $23 allowance
Trifocal $25 copay $23 allowance
Lenticular $25 copay $64 allowance
Frames
$130 allowance $46 allowance
Contacts
Medically Necessary Paid in full $210 allowance
Conventional $130 allowance $100 allowance
Disposable $130 allowance $100 allowance
Frequency
Exam 12 months
Lenses 12 months
Contacts (in lieu of glasses) 12 months
Frames 24 months
Cost of Coverage
Monthly Vision Contributions
Employee $5.46
Employee + Spouse $8.88
Employee + Child(ren) $8.88
Family $14.55
Waterjet Holdings 14
