Page 6 - 2020 Wiese Benefits Guide
P. 6
To Find a Provider VISION
Visit eyemedvisioncare.com Vision Plan—EyeMed
Click on “Find a Provider”
Enter your ZIP Code Wiese partners with EyeMed to administer vision coverage.
Choose the Insight network Service Coverage*
Click on “Get Results”
Copay $10 for exam/$25 for eye glass lenses
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
6
Visit eyemedvisioncare.com Vision Plan—EyeMed
Click on “Find a Provider”
Enter your ZIP Code Wiese partners with EyeMed to administer vision coverage.
Choose the Insight network Service Coverage*
Click on “Get Results”
Copay $10 for exam/$25 for eye glass lenses
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
6
