Page 12 - 2020 Stein Mart Benefits Guide - Weekly
P. 12
VISION INSURANCE
We partner with Humana Vision to offer you and your family members vision insurance. There is one plan option.
In-Network Providers
Remember to visit in-network providers to receive the deepest level of discount on your services.
Managing your Vision Coverage
Go to www.humana.com or call 800.448.6262.
Create an account online to access a variety of online tools and programs including searching for participating in-
network doctors in your area.
Plan Highlights
Below is a high level summary of your benefit coverage.
In-Network Out-of-Network
Exams
Please Note Exam with Dilation as Necessary $0 Up to $30
This plan covers Contact Lens Exam (standard) Up to $55 Not covered
either contact Contact Lens Exam (premium) 10% off retail Not covered
lenses or frames Retinal Imaging Up to $39 Not covered
per year, but not Diabetic Eye Care Exam $0 Up to $77
both. Lenses
Single $0 Up to $25
Bifocal $0 Up to $40
Trifocal $0 Up to $60
Lenticular $0 Up to $100
Polycarbonate $40 Not covered
Progressive Standard $0 Up to $40
(bifocal add-on)
Solid or Gradient Tint and Scratch $15 Not covered
Coating
Contact Lenses
Conventional $150 allowance; 15% Up to $104
off balance over $150
Disposable $150 allowance Up to $104
Medically Necessary (per pair) $0 Up to $200
Frames
$150 allowance; 20% Up to $65
off balance over $150
Frequency
Exam
Lenses or Contact Lenses Once every 12 months
Frames
Associate Weekly Rates
Associate Only $1.28
Associate + Dependents $3.46
Weekly Store and Weekly Corporate Associates 11
Department Merchandise Managers For 2020 Benefits
We partner with Humana Vision to offer you and your family members vision insurance. There is one plan option.
In-Network Providers
Remember to visit in-network providers to receive the deepest level of discount on your services.
Managing your Vision Coverage
Go to www.humana.com or call 800.448.6262.
Create an account online to access a variety of online tools and programs including searching for participating in-
network doctors in your area.
Plan Highlights
Below is a high level summary of your benefit coverage.
In-Network Out-of-Network
Exams
Please Note Exam with Dilation as Necessary $0 Up to $30
This plan covers Contact Lens Exam (standard) Up to $55 Not covered
either contact Contact Lens Exam (premium) 10% off retail Not covered
lenses or frames Retinal Imaging Up to $39 Not covered
per year, but not Diabetic Eye Care Exam $0 Up to $77
both. Lenses
Single $0 Up to $25
Bifocal $0 Up to $40
Trifocal $0 Up to $60
Lenticular $0 Up to $100
Polycarbonate $40 Not covered
Progressive Standard $0 Up to $40
(bifocal add-on)
Solid or Gradient Tint and Scratch $15 Not covered
Coating
Contact Lenses
Conventional $150 allowance; 15% Up to $104
off balance over $150
Disposable $150 allowance Up to $104
Medically Necessary (per pair) $0 Up to $200
Frames
$150 allowance; 20% Up to $65
off balance over $150
Frequency
Exam
Lenses or Contact Lenses Once every 12 months
Frames
Associate Weekly Rates
Associate Only $1.28
Associate + Dependents $3.46
Weekly Store and Weekly Corporate Associates 11
Department Merchandise Managers For 2020 Benefits
