Page 12 - Goddard School of Owings Mills

Frequently questions

Can members use their benefits if they visit a provider outside of the network?
Yes. All of the plans give you the freedom to choose any vision If a member visits an out-of-network pro they
pay the provider the full balance and submit a claim with their itemized receipt for reimbursement based on the out-of­
network plan be Greater benefits are available with network providers, and they submit the claim for the member.
Can members get glasses and contacts in the same year?
Yes. With EyeMed network plans, benefits for frames and contacts/eyeglass lenses are If a member uses their
lens benefits to purchase cont they are still able to use their frame allowance towards new glasses during the same
benefit In this case the eyeglass lenses to go in their new frames would be an out-of-pocket expense.

What is Ameritas' relationship with EyeMed?
EyeMed is one of the largest vision care companies in the world. They have relied on Ameritas as a trusted partner for
decades. Ameritas handles vision plan administration and underwriting. EyeMed provides customer service and manages
the provider networks.

EyeMed limitations
Please refer to the Certificate of Insurance for a complete list of covered procedures. Check for availability in
your state. Covered expenses will not include, and no benefits will be payable for:
• Vision examinations, lenses and frames more than the frequency as indicated on the plan summal'f page.
• Orthoptics or vision training and any associated supplemental testing.
• Plano lenses Oenses with refractive correction of less than plus or minus .50 diopter) except as specifically
allowed in the frames benefit section of the Plan Benefits.
• Two pairs of glasses in lieu of bifocals.
• Replacement of spectacle lenses, frames, and/or contact lenses furnished under this plan that are lost
or damaged, except at the normal intervals when services are otherwise available.
• Medical or surgical treatment of the eyes.
• Plans are not available in FL for groups with less than 51 lives.
• Plans not available in RI.
• Specific plans not listed in this brochure are available for MA , MT, ME and MD.
Consult your sales representative regarding plan availabillty in the states of MA, WA and MD.

Consult your sales representative regarding plan availability in the states of MA, WA and MD.

Marketed by Underwritten by

�Allstate� Ameritas�

BENEFITS fulfilling life.

This is not a certificate of insurance or guarantee of coverage. Plan designs may not be available in all areas and are subject to individual state regulations. This piece is not for use in New Mexico. This
information is provided by Ameritas Life Insurance Corp. (Ameritas Life). Dental, vision and hearing care products (9000 Rev. 03-16 for Group and 9000 Rev. 02-19 for Individual, dates may vary by state) are
issued by Ameritas Life. The Dental and Vision Networks are not available in RI. In Texas, our dental network and plans are referred to as the Ameritas Dental Network. Ameritas, the bison design, "fulfilling life"
are service marks or registered service marks of Ameritas Life, affiliate Ameritas Holding Company or Ameritas Mutual Holding Company. © 2023 Ameritas Mutual Holding Company.

11 W on @ a 800-776-944 I ameritas.com