Page 16 - IPsoft 2018 Benefits Guide
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Vision
Administered by EyeMed
Regular eye examinations can not only determine your need for corrective eyewear, but also may detect general health problems in their earliest stages. Protection for the eyes should be a major concern to everyone, therefore regular eye exams are recommended. All bene ts eligible employees may elect to enroll in the vision plan offered by EyeMed. Employees pay the full cost of this plan offered at group rates, through payroll deductions.
VISION PLAN
BENEFIT DETAILS
Lined Bifocal Progressive Lenses
Medically Necessary
Lenses or Contact Lenses Network
Copay
$20 copay $0 copay
No Charge
Once every 12 months
Out-of-Network
Up to $50 Up to $50
Up to $210
Once every 12 months
Eye
Exam
$10 copay
Up to $40
Prescription Glasses
Single
Vision
$20 copay
Up to $30
Lined Trifocal
$20 copay
Up to $70
F
rames
20% discount off amounts over $130
Up to $91
Contact Lenses (Contact
lens allowance includes materials only)
Elective and Conventional
15% discount off amounts over $130
Up to $130
Frequency
Exami
nation
Once every 12 months
Once every 12 months
F
rames
Once every 24 months
Once every 12 months
Insight
2018 Benefits
*This is a partial list of vision services. Your certi cate of bene ts will detail what is covered and what is excluded.
