Page 13 - 2020 Stein Mart Benefits
P. 13
VISION INSURANCE
We partner with Humana Vision to offer you and your family members vision
insurance. There is one plan option.
Please Note
In-Network Providers
Remember to visit in-network providers to receive the deepest level of discount on This plan covers
either contact
your services. lenses or frames
Managing your Vision Coverage per year, but not
Go to www.humana.com or call 800.448.6262. both.
Create an account online to access a variety of online tools and programs including
searching for participating in-network doctors in your area.
In-Network Out-of-Network
Exams
Exam with Dilation as Necessary $0 Up to $30
Contact Lens Exam (standard) Up to $55 Not covered
Contact Lens Exam (premium) 10% off retail Not covered
Retinal Imaging Up to $39 Not covered
Diabetic Eye Care Exam $0 Up to $77
Lenses
Single $0 Up to $25
Bifocal $0 Up to $40
Trifocal $0 Up to $60
Lenticular $0 Up to $100
Polycarbonate $40 Not covered
Progressive Standard $0 Up to $40
(bifocal add-on)
Solid or Gradient Tint and $15 Not covered
Scratch Coating
Contact Lenses
Conventional $150 allowance; 15% Up to $104
off balance over $150
Disposable $150 allowance Up to $104
Medically Necessary (per pair) $0 Up to $200
Frames
$150 allowance; 20% Up to $65
off balance over $150
Frequency
Exam
Lenses or Contact Lenses Once every 12 months
Frames
Associate Rates
Weekly Semi Monthly
Associate Only $1.28 $2.78
Associate + Dependents $3.46 $7.49
Assistant Store Managers, Asset Protection and Loss 11
Prevention and Semi-Monthly Associates For 2020 Benefits
We partner with Humana Vision to offer you and your family members vision
insurance. There is one plan option.
Please Note
In-Network Providers
Remember to visit in-network providers to receive the deepest level of discount on This plan covers
either contact
your services. lenses or frames
Managing your Vision Coverage per year, but not
Go to www.humana.com or call 800.448.6262. both.
Create an account online to access a variety of online tools and programs including
searching for participating in-network doctors in your area.
In-Network Out-of-Network
Exams
Exam with Dilation as Necessary $0 Up to $30
Contact Lens Exam (standard) Up to $55 Not covered
Contact Lens Exam (premium) 10% off retail Not covered
Retinal Imaging Up to $39 Not covered
Diabetic Eye Care Exam $0 Up to $77
Lenses
Single $0 Up to $25
Bifocal $0 Up to $40
Trifocal $0 Up to $60
Lenticular $0 Up to $100
Polycarbonate $40 Not covered
Progressive Standard $0 Up to $40
(bifocal add-on)
Solid or Gradient Tint and $15 Not covered
Scratch Coating
Contact Lenses
Conventional $150 allowance; 15% Up to $104
off balance over $150
Disposable $150 allowance Up to $104
Medically Necessary (per pair) $0 Up to $200
Frames
$150 allowance; 20% Up to $65
off balance over $150
Frequency
Exam
Lenses or Contact Lenses Once every 12 months
Frames
Associate Rates
Weekly Semi Monthly
Associate Only $1.28 $2.78
Associate + Dependents $3.46 $7.49
Assistant Store Managers, Asset Protection and Loss 11
Prevention and Semi-Monthly Associates For 2020 Benefits
