Page 11 - Tacony 2021 Annual Benefits
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Vision Coverage Provided by Vision
EyeMed. Out-of-Network
Because symptoms of health conditions do not In-Network Reimbursement
appear often until damage has already occurred, Schedule
eye exams are a great way to keep tabs on what Copay
is happening in your body. Your eyes are the only Exam $10 copay Up to $40
place in your body which provide a clear view of your
blood vessels, arteries, and a cranial nerve which Materials
can tell your doctor a lot about your overall health. Single Lenses $25 copay Up to $30
Our vision insurance coverage, ofered in partnership Bifocal Lenses $25 copay Up to $50
with EyeMed, is designed to meet a variety of needs. Trifocal Lenses $25 copay Up to $70
Frames $130 allowance; 20% Up to $91
EyeMed Network of balance over $130
Remember to visit in-network providers to receive Contacts
the deepest level of discount on your services. To Conventional $130 allowance; 15% Up to $130
ind a participating in-network provider in your area, of balance over $130
go to eyemed.com and search for providers in the
Insight Network. Disposable $130 allowance Up to $130
Frequency
Exam Once every 12 months
Lenses Once every 12 months
Contacts (in Once every 12 months
lieu of glasses)
Frames Once every 24 months
This is a high-level summary of your beneit coverage. Full coverage
details are available in your summary plan description (SPD). In the event
there is a discrepancy between what is relected in this guide and what is
communicated in your SPD, the terms of your SPD will prevail.
2021 Associate Contributions
Vision Weekly
Associate $1 .21
Associate and Spouse $2 .29
Associate and Child(ren) $2 .41
Family $3 .55
Tacony Corporation 11
EyeMed. Out-of-Network
Because symptoms of health conditions do not In-Network Reimbursement
appear often until damage has already occurred, Schedule
eye exams are a great way to keep tabs on what Copay
is happening in your body. Your eyes are the only Exam $10 copay Up to $40
place in your body which provide a clear view of your
blood vessels, arteries, and a cranial nerve which Materials
can tell your doctor a lot about your overall health. Single Lenses $25 copay Up to $30
Our vision insurance coverage, ofered in partnership Bifocal Lenses $25 copay Up to $50
with EyeMed, is designed to meet a variety of needs. Trifocal Lenses $25 copay Up to $70
Frames $130 allowance; 20% Up to $91
EyeMed Network of balance over $130
Remember to visit in-network providers to receive Contacts
the deepest level of discount on your services. To Conventional $130 allowance; 15% Up to $130
ind a participating in-network provider in your area, of balance over $130
go to eyemed.com and search for providers in the
Insight Network. Disposable $130 allowance Up to $130
Frequency
Exam Once every 12 months
Lenses Once every 12 months
Contacts (in Once every 12 months
lieu of glasses)
Frames Once every 24 months
This is a high-level summary of your beneit coverage. Full coverage
details are available in your summary plan description (SPD). In the event
there is a discrepancy between what is relected in this guide and what is
communicated in your SPD, the terms of your SPD will prevail.
2021 Associate Contributions
Vision Weekly
Associate $1 .21
Associate and Spouse $2 .29
Associate and Child(ren) $2 .41
Family $3 .55
Tacony Corporation 11
