Page 11 - 2018 Peak Benefit Guide

Vision

Vision Benefits

Your eyes are the only place in your body that can provide a clear view
of your blood vessels, arteries, and a cranial nerve which can tell your
doctor a lot about your overall health. That is why Peak-Ryzex partners

with VSP to offer you vision insurance. The vision plan helps you pay for
eye exams, eyeglasses (lenses and frames), and contact lenses. The plan
includes both in-network and out-of-network beneits. To locate an in-
network provider, visit www.vsp.com.

Vision Beneits At-a-Glance
In-Network
Exams Covered in full, after $10 copayment
(every 12 months)
Lenses (every 12 months)
Single Covered in full, after $30 copayment
Bifocal Covered in full, after $30 copayment
Trifocal Covered in full, after $30 copayment
Polycarbonate Lenses for Covered in full, after $30 copayment
Dependent Children
Approved Frames (every 24 months)
$130 allowance
Approved Contact Lenses (every 12 months) in Lieu of Glasses
Elective $120 allowance

Vision

Semi-Monthly
Employee Only $3 .14
Employee and Spouse $5 .29
Employee and Child(ren) $5 .40
Employee and Family $8 .71

Peak-Ryzex 11