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W International offers vision insurance plans through EyeMed.
The plans are intended to help you and your covered dependents pay for the costs of vision
care. The plans do not pay for all of your vision care; you may also be required to pay
deductibles and coinsurance.
Please refer to the Benefit Summary for limitations and exclusions.
EyeMed Vision
Services In Network
Exam / 12 months $10
Materials $25
Single $25 copay
Bifocal $25 copay
Trifocal $25 copay
Lenticular $25 copay
Frames / 24 months $130 Allowance + 80% of charge over $130
Elective $130 Allowance + 15% off balance over $130
Medically Necessary $0 copay, paid in full
Weekly Deductions (52)
Employee $1.26
Employee + One Dep $2.40
Employee + Child(ren) N/A
Family $3.53
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