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Beneit Resource
Guide
Vision
Vision Vision coverage is offered through Guardian. Please review the details
Coverage provided regarding the plan design and cost of vision insurance
through Americare. Keep in mind, the information in the chart
provided is a summary only.
Vision Network—Guardian VSP
Exam copay $10
Materials copay $25
Common Upgrades
Solid plastic dye $13.00
UV protection $15.00
Scratch resistance $15.00
Poly carb $25.00
Anti-relective $61.00
Frequency
Exams Every 12 months
Lens Every 12 months
Contacts (in lieu of glasses)* Every 12 months
Frames** Every 24 months
Rate per Pay Period
Employee only $6.00
Employee + spouse $11.50
Employee + child(ren) $9.50
Family $15.00
* Contacts are covered up to $120 by Guardian
** Non-network frames are covered up to $120 by Guardian with a 20% discount for any
retail cost above that amount
14
Guide
Vision
Vision Vision coverage is offered through Guardian. Please review the details
Coverage provided regarding the plan design and cost of vision insurance
through Americare. Keep in mind, the information in the chart
provided is a summary only.
Vision Network—Guardian VSP
Exam copay $10
Materials copay $25
Common Upgrades
Solid plastic dye $13.00
UV protection $15.00
Scratch resistance $15.00
Poly carb $25.00
Anti-relective $61.00
Frequency
Exams Every 12 months
Lens Every 12 months
Contacts (in lieu of glasses)* Every 12 months
Frames** Every 24 months
Rate per Pay Period
Employee only $6.00
Employee + spouse $11.50
Employee + child(ren) $9.50
Family $15.00
* Contacts are covered up to $120 by Guardian
** Non-network frames are covered up to $120 by Guardian with a 20% discount for any
retail cost above that amount
14
