Page 14 - 2019 Franke Enrollment Guide

2019 BENEFITS ENROLLMENT

VISION

EyeMed is our vision insurance provider. To verify your provider is in-
network, please visit https://eyemed.com. Franke’s vision plan covers the
following.

In-Network Out-of-Network
Exam $10 copay $45 allowance
Materials Copay $25 copay N/A
Lenses
Single Covered in full $32 allowance
Bifocal Covered in full $55 allowance
Trifocal Covered in full $65 allowance
Lenticular Covered in full $80 allowance
Frames
$150 allowance $83 allowance
Contacts
Elective $130 allowance $105 allowance
Medically Necessary Covered in full $210 allowance
Frequency
Exam 12 months 12 months
Lenses 12 months 12 months
Contacts (in lieu of 12 months 12 months
glasses)
Frames 24 months 24 months

You are encouraged to seek services from an EyeMed network professional
to take advantage of the network discounts allowing you to take maximum
advantage of the eye exam and materials allowance. If you seek services from
non-network providers, you must pay for the service and file a claim with
EyeMed for reimbursement.

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