Page 17 - National Door_Benefit Guide 2024
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Vision Option:
Superior Vision
Per Pay Period
Dependent Information
Employee Only $3.16 National Door Industries, Inc. offers our employees
the opportunity to cover their spouse or dependent
Employee + Spouse $5.39 children. Children can join or remain on a parent’s
vision plan until age 26. When a child turns 26, they
Employee + Child(ren) $5.69 will lose vision coverage on the last day of their birth
Employee + Family $8.54 month. This is an automatic process.
Benefits (In-Network) Plan Coverage
Copays:
Exam $10 Copay
Materials $25 Copay
Frequency: (Based on Date of Service)
Exams Every 12 Months
Lenses Every 12 Months
Frames Every 24 Months
Contact Lenses Every 12 Months
Standard Lenses:
Single Vision Covered in Full after Copay
Lined Bifocal Covered in Full after Copay
Lined Trifocal Covered in Full after Copay
Progressive Lenses Paid Equal to Standard Trifocal lenses
Scratch Resistant Coating Covered in Full after Copay
Ultraviolet Coating Covered in Full after Copay
Frames:
Frames Allowance $150 Retail Allowance
Contact Lenses in lieu of eye glasses, materials only:
Frequency Every 12 Months
Lens Allowance (fitting, evaluation and follow-up) $150 Retail Allowance
NOTE: This is only a brief overview. Please see Benefit Summary for more details.
Website: www.superiorvision.com or Customer Service : 800-507-3800
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