Page 7 - 2020 Wiese MNS Benefits Guide
P. 7
2020
Wiese Benefits Enrollment
VISION To Find a Provider
Vision Plan—EyeMed Visit eyemedvisioncare.com
Click on “Find a Provider”
Wiese partners with EyeMed to administer vision coverage. Enter your ZIP Code
Choose the Insight network
Service Coverage*
Copay $10 for exam/$25 for eye glass lenses Click on “Get Results”
Annual Eye Exam $10 copay
Lenses (single/bifocal/trifocal) $25 copay
Contacts (in lieu of glasses) $130 allowance, 15% of balance over $130
Frames $130 allowance, 20% of balance over $130
Team Members Cost Per Week
TM Only $1 .42
TM + Spouse $2 .74
TM + Child(ren) $2 .31
TM + Family $3 .63
* The above illustration includes beneit levels for in-network services only
7
Wiese Benefits Enrollment
VISION To Find a Provider
Vision Plan—EyeMed Visit eyemedvisioncare.com
Click on “Find a Provider”
Wiese partners with EyeMed to administer vision coverage. Enter your ZIP Code
Choose the Insight network
Service Coverage*
Copay $10 for exam/$25 for eye glass lenses Click on “Get Results”
Annual Eye Exam $10 copay
Lenses (single/bifocal/trifocal) $25 copay
Contacts (in lieu of glasses) $130 allowance, 15% of balance over $130
Frames $130 allowance, 20% of balance over $130
Team Members Cost Per Week
TM Only $1 .42
TM + Spouse $2 .74
TM + Child(ren) $2 .31
TM + Family $3 .63
* The above illustration includes beneit levels for in-network services only
7
