Page 12 - 2025 US Neuro LLC - Benefit Guide
P. 12

Vision Option:




          Lincoln Financial Group


             PAY PERIOD (26)
                                                                         Dependent Information
             Employee Only                   $  3.34
                                                            Our  company  offers  our  employees  the  opportunity  to

             Employee + Spouse               $  6.67        cover their spouse or  dependent children. Children can
                                                            join  or  remain  on  a  parent’s  vision  plan  until  age  26.
             Employee + Child(ren)           $  7.89        When a child turns 26, they will lose coverage on the last
                                                            day of their birth month. This is an automated process.
             Employee + Family               $12.07


         Benefits                                                          (In-Network) Plan Coverage


         Copays:

           Exam                                                                          $10 Copay

           Materials                                                                     $10 Copay
         Frequency: (Based on Date of Service)
           Exams                                                                      Every 12 Months

           Lenses                                                                     Every 12 Months
           Frames                                                                     Every 24 Months

           Contact Lenses                                                 Every 12 Months in lieu of eyeglass lenses.
         Standard Lenses:

           Single Vision                                                    100% Covered in $10 Materials Copay
           Lined Bifocal                                                    100% Covered in $10 Materials Copay
           Lined Trifocal                                                   100% Covered in $10 Materials Copay

           Progressive Lenses                                                        $55—$250 Copay

           Tint                                                                          $14 Copay
           UV Coating                                                                    $16 Copay

           Scratch Resistant Coating                                                     $0 Copay
           Photochromic                                                                  $67 Copay

                                                                         Plan Includes Warby Parker. You can have
         Frames:
                                                                            Complete Pair of Glasses for $25.00
                                                                                   $130 Retail allowance;
           Frames Allowance
                                                                             then up to 30% off balance over $130.

         Contact Lenses in lieu of eye glasses:                                       $130 Allowance;


                           NOTE: This is only a brief overview. Please see the Benefit Summary for more details.

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