Page 10 - 2018 VER Benefit Guide
P. 10
Additional Discounts for Vision
Members* A comprehensive vision plan is offered through EyeMed vision
X 40% off complete pair of care, Insight network. You have the lexibility to choose network
prescription eyeglasses
or non-network providers however you will pay less out-of-pocket
X 20% off non-prescription costs when visiting network providers. For a complete list of in-
sunglasses
network providers near you, use our Enhanced Provider Locator on
X 20% off remaining balance www.eyemedvisioncare.com or call 866.804.0982.
beyond plan coverage
* These discounts are not insured VER pays 100% of the premiums for those who enroll in the vision plan.
beneits and are for in-network
providers only
EyeMed
EyeMed Vision Care,
Insight Network Non-Network
Exam
$10 copay Up to $49
Lenses
Single $10 copay Up to $35
Bifocal $10 copay Up to $49
Trifocal $10 copay Up to $74
Frames
$130 retail allowance; Up to $65
20% off balance over
$130; no copay
Contacts
Elective $130 retail allowance Up to $104
Medically Necessary Covered in full Up to $250
Contact Lens Fit and Follow-Up
Standard Up to $40 Not covered
Premium 10% off retail Not covered
Frequency
Exam Once every 12 months
Lenses Once every 12 months
Contacts (in lieu of glasses) Once every 12 months
Frames Once every 24 months
10 2018 Benefits Enrollment
Members* A comprehensive vision plan is offered through EyeMed vision
X 40% off complete pair of care, Insight network. You have the lexibility to choose network
prescription eyeglasses
or non-network providers however you will pay less out-of-pocket
X 20% off non-prescription costs when visiting network providers. For a complete list of in-
sunglasses
network providers near you, use our Enhanced Provider Locator on
X 20% off remaining balance www.eyemedvisioncare.com or call 866.804.0982.
beyond plan coverage
* These discounts are not insured VER pays 100% of the premiums for those who enroll in the vision plan.
beneits and are for in-network
providers only
EyeMed
EyeMed Vision Care,
Insight Network Non-Network
Exam
$10 copay Up to $49
Lenses
Single $10 copay Up to $35
Bifocal $10 copay Up to $49
Trifocal $10 copay Up to $74
Frames
$130 retail allowance; Up to $65
20% off balance over
$130; no copay
Contacts
Elective $130 retail allowance Up to $104
Medically Necessary Covered in full Up to $250
Contact Lens Fit and Follow-Up
Standard Up to $40 Not covered
Premium 10% off retail Not covered
Frequency
Exam Once every 12 months
Lenses Once every 12 months
Contacts (in lieu of glasses) Once every 12 months
Frames Once every 24 months
10 2018 Benefits Enrollment
