Page 12 - 2020 Stein Mart Benefits Guide - Semi-Monthly
P. 12
VISION INSURANCE
We partner with Humana Vision to offer you and your family members vision insurance. There is one plan option.
In-Network Providers
Remember to visit in-network providers to receive the deepest level of discount on your services.
Managing your Vision Coverage
Go to www.humana.com or call 800.448.6262.
Create an account online to access a variety of online tools and programs including searching for participating in-
network doctors in your area.
Plan Highlights
Below is a high level summary of your benefit coverage.
In-Network Out-of-Network
Exams
Please Note Exam with Dilation as Necessary Up to $30
$0
This plan covers Contact Lens Exam (standard) Up to $55 Not covered
either contact Contact Lens Exam (premium) 10% off retail Not covered
lenses or frames Retinal Imaging Up to $39 Not covered
per year, but not Diabetic Eye Care Exam $0 Up to $77
both. 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 Up to $40
(bifocal add-on) $0
Solid or Gradient Tint and Scratch Not covered
Coating $15
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.
In-Network Providers
Remember to visit in-network providers to receive the deepest level of discount on your services.
Managing your Vision Coverage
Go to www.humana.com or call 800.448.6262.
Create an account online to access a variety of online tools and programs including searching for participating in-
network doctors in your area.
Plan Highlights
Below is a high level summary of your benefit coverage.
In-Network Out-of-Network
Exams
Please Note Exam with Dilation as Necessary Up to $30
$0
This plan covers Contact Lens Exam (standard) Up to $55 Not covered
either contact Contact Lens Exam (premium) 10% off retail Not covered
lenses or frames Retinal Imaging Up to $39 Not covered
per year, but not Diabetic Eye Care Exam $0 Up to $77
both. 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 Up to $40
(bifocal add-on) $0
Solid or Gradient Tint and Scratch Not covered
Coating $15
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
