Page 12 - Anzea 2020 Benefit Guide_Revised 9-25-2020
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Vision Option
Superior Vision
2020 Rate Information—Per Pay Period
Dependent Information
Employee Only $ .39
Anzea Textiles offers employees the opportunity to
Employee + Spouse $ 1.56 cover their spouses and dependent children. Children
can join or remain on a parent’s vision plan until age 26.
Employee + Child(ren) $ 1.89 When a child turns 26, they will lose vision coverage on
the last day of their birth month.
Employee + Family $ 3.34
Benefits (In-Network) Plan Coverage
Copays:
Exam $10 Copay
Materials $20 Copay
Contact Lens Fittings $25 Copay
Frequency: Based on dated of usage not calendar year
Exams Every 12 Months
Lens Every 12 Months
Frames Every 24 months
Standard Lens:
Single Vision Covered in Full after Copay
Lined Bifocal Covered in Full after Copay
Lined Trifocal Covered in Full after Copay
Progressive Lens Covered at Lined Trifocal level after Copay
Factory Scratch Resistant and UV Coating Covered in Full
Frames:
Frames Allowance $130 Retail allowance
Contact Lenses in lieu of eye glasses lenses & frames
Frequency Every 12 Months
Contact Lens Allowance $130 Retail allowance
NOTE: This is only a brief overview. Please see Benefit Summary for more details.
Website: www.superiorvision.com or Customer Service: 800-507-3800
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