Page 21 - Busey 2020 Benefits
P. 21
VISION
Eye doctors detect problems in vision, overall eye health, and signs of
other health conditions like diabetic eye disease, high blood pressure and To Find a Vision Provider
high cholesterol. We know your eyesight is precious to you, so we provide 1 . Go to
www.guardiananytime.com
vision beneits to make sure your trip to the eye doctor is reasonably 2 . Hover over MyAccount/Login
priced.
3 . Select “Find a Provider”
Guardian offers associates comprehensive vision coverage through the 4 . Select “Search Providers”
Avesis network. Keep in mind, the information in the chart provided is 5 . Select “Find a Vision Provider”
a summary only. Please refer to your Certiicate of Coverage (COC) for 6 . Select “Search Guardian Vision”
complete details of plan beneits, limitations, and exclusions OTL. Visit (lower, left)
www.guardiananytime.com.
In-Network Out-of-Network Bi-Weekly Rates
Vision Exam Associate only $2 .87
Exam copay $10 copay Amount over $59 Associate + spouse $5 .43
Lenses Associate + child(ren) $5 .56
Single lens $25 copay Amount over $30 Family $7 .52
Bifocal lens $25 copay Amount over $50
Trifocal lens $25 copay Amount over $65
Frames
Frame beneit $130 allowance then 20% Amount over $70
discount on amount over
allowance
Contacts Lenses
Elective $130 allowance then 15% Amount over $120
discount on amount over
allowance
Visually required $0 copay; paid-in-full Amount over $210
Frequency
Exam 12 months 12 months
Lenses 12 months 12 months
Contacts (in lieu of 12 months 12 months
glasses)
Frames 24 months 24 months
Guardian Vision plan participants have access to quality hearing care and savings
on name brand hearing aids and related technology.
Through EPIC Hearing Service Plan (HSP), Guardian ofers a program for
managing hearing care and obtaining brand name hearing aids through a national
network of preferred providers.
Participant’s simply call EPOIC at 866.956.5400 to start the process.
First Busey Corporation 21
Eye doctors detect problems in vision, overall eye health, and signs of
other health conditions like diabetic eye disease, high blood pressure and To Find a Vision Provider
high cholesterol. We know your eyesight is precious to you, so we provide 1 . Go to
www.guardiananytime.com
vision beneits to make sure your trip to the eye doctor is reasonably 2 . Hover over MyAccount/Login
priced.
3 . Select “Find a Provider”
Guardian offers associates comprehensive vision coverage through the 4 . Select “Search Providers”
Avesis network. Keep in mind, the information in the chart provided is 5 . Select “Find a Vision Provider”
a summary only. Please refer to your Certiicate of Coverage (COC) for 6 . Select “Search Guardian Vision”
complete details of plan beneits, limitations, and exclusions OTL. Visit (lower, left)
www.guardiananytime.com.
In-Network Out-of-Network Bi-Weekly Rates
Vision Exam Associate only $2 .87
Exam copay $10 copay Amount over $59 Associate + spouse $5 .43
Lenses Associate + child(ren) $5 .56
Single lens $25 copay Amount over $30 Family $7 .52
Bifocal lens $25 copay Amount over $50
Trifocal lens $25 copay Amount over $65
Frames
Frame beneit $130 allowance then 20% Amount over $70
discount on amount over
allowance
Contacts Lenses
Elective $130 allowance then 15% Amount over $120
discount on amount over
allowance
Visually required $0 copay; paid-in-full Amount over $210
Frequency
Exam 12 months 12 months
Lenses 12 months 12 months
Contacts (in lieu of 12 months 12 months
glasses)
Frames 24 months 24 months
Guardian Vision plan participants have access to quality hearing care and savings
on name brand hearing aids and related technology.
Through EPIC Hearing Service Plan (HSP), Guardian ofers a program for
managing hearing care and obtaining brand name hearing aids through a national
network of preferred providers.
Participant’s simply call EPOIC at 866.956.5400 to start the process.
First Busey Corporation 21
