Page 10 - Guide
P. 10
Vision coverage Vision
provided by Vision Benefits
[Carrier] .
We partner with [Carrier] to offer you and your family members vision
insurance. Visit www.[Carrier].com to ind in-network providers and
access to a variety of online tools and programs.
Vision Beneits At-a-Glance
In-Network
Exams Covered in full, after [X] copayment
(every 12 months)
Lenses (every 12 months)
Single Combined with exam
Bifocal Combined with exam
Trifocal Combined with exam
Polycarbonate Lenses Combined with exam
For Dependent
Children
Approved Frames (every [X] months)
[X] allowance
Approved Contact Lenses (every [X] months) in lieu of glasses
Elective Up to a $[X] copayment
Vision
Bi-weekly
Employee Only $
Employee and Spouse $
Employee and Child(ren) $
Employee and Family $
10 2018 Benefits Enrollment
provided by Vision Benefits
[Carrier] .
We partner with [Carrier] to offer you and your family members vision
insurance. Visit www.[Carrier].com to ind in-network providers and
access to a variety of online tools and programs.
Vision Beneits At-a-Glance
In-Network
Exams Covered in full, after [X] copayment
(every 12 months)
Lenses (every 12 months)
Single Combined with exam
Bifocal Combined with exam
Trifocal Combined with exam
Polycarbonate Lenses Combined with exam
For Dependent
Children
Approved Frames (every [X] months)
[X] allowance
Approved Contact Lenses (every [X] months) in lieu of glasses
Elective Up to a $[X] copayment
Vision
Bi-weekly
Employee Only $
Employee and Spouse $
Employee and Child(ren) $
Employee and Family $
10 2018 Benefits Enrollment
