Page 11 - 2018 Movilitas 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 Movilitas 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

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