Page 18 - NRDC Benefits Guide for 2022

Vision Insurance

NRDC offers you with a vision plan through EyeMed. This plan allows you and covered family members to
receive eye exams, lenses, frames, and contact lenses for the cost of a co-pay, in many instances, when you
visit an eye doctor in the EyeMed network. The EyeMed network consists of optometrists and ophthalmologists
who are in private practice. You are responsible for filing claims for out-of-network services.

Vision Plan at-a-Glance

Vision Plan Annual Eye Exam Benefit
Out of Frequency
Benefit Options In Network NRDC will reimburse up to
Network Period
Once every $40 for the cost of an
Exam $20 co-pay Up to $50 annual eye exam. All you
12 months need to do is complete a
Once every
Retinal Imaging Up to $39 N/A benefits reimbursement
12 months claim form, attach a copy of
Standard Plastic Lenses your eye exam receipt, and
Single Vision Up to $30 submit the information to
Lined Bifocal Lens $20 co-pay Up to $50 Once every reimbursements@nrdc.com
Lined Trifocal Lens Up to $70 12 months
Frames Please note that this benefit
$0 co-pay; is for employees only and is
20% off Once every available whether you elect
balance over Up to $105 12 months EyeMed Vision or not. This
$150 reimbursement will appear
Contact Lens Allowances on your paycheck and is
(medically necessary – in lieu Once every subject to federal, state,
and local income taxes.
of lenses and frame benefit) $0 co-pay U to $210 12 months

View Your ID Card
Vision Contributions (Bi-weekly Rates)
You can easily view your ID card by
PPO Dental Plan logging in to eyemed.com/eyemanage.
You Pay NRDC Pays
Individual Coverage $1.27 $1.27 You will receive a welcome kit from
Individual +1 Coverage $1.85 $1.85 EyeMed with plan information and ID
Family Coverage $3.31 $3.31 cards.

Finding an Eye Doctor

EyeMed members choose from the right mix of thousands or providers—independent eye doctors, your favorite
retail stores, and everything in between. Find you ideal fit at eyemed.com, the EyeMed Members App, or by
calling 1-866-804-0982.

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