Page 21 - 2017 US Benefits Guide - for all Capgemni employees in the FS SBU
P. 21
Your Vision Plan
Both Medical Plan options provide an allowance of up to $50 each year for a basic annual eye Find a provider.
exam. If you need more than the basic level of protection, you have the option to enroll in the To locate an EyeMed participating
Vision Plan through EyeMed. provider, visit www.eyemed.com or
EyeMed’s large Vision Plan provider network ofers you access to private practice optometrists call 1-866-939-3633 .
and ophthalmologists, to conveniently located retail chain providers, and to discounted laser eye
surgery from pre-screened providers. When you visit in-network providers, you can receive most
services and materials for a $10 co-payment.
Vision Plan Rates
Premier Plan
Semi-Monthly
Coverage Level Employee Contribution
You Only $2.00
You + Spouse/Domestic Partner $3.81
You + Child(ren) $4.01
You + Family $5.89
CAPGEMINI 2017 BENEFITS GUIDE 18
Both Medical Plan options provide an allowance of up to $50 each year for a basic annual eye Find a provider.
exam. If you need more than the basic level of protection, you have the option to enroll in the To locate an EyeMed participating
Vision Plan through EyeMed. provider, visit www.eyemed.com or
EyeMed’s large Vision Plan provider network ofers you access to private practice optometrists call 1-866-939-3633 .
and ophthalmologists, to conveniently located retail chain providers, and to discounted laser eye
surgery from pre-screened providers. When you visit in-network providers, you can receive most
services and materials for a $10 co-payment.
Vision Plan Rates
Premier Plan
Semi-Monthly
Coverage Level Employee Contribution
You Only $2.00
You + Spouse/Domestic Partner $3.81
You + Child(ren) $4.01
You + Family $5.89
CAPGEMINI 2017 BENEFITS GUIDE 18
