Page 10 - 2018 Turnberry Associates Guide Boston
P. 10
Keep An Eye On Your
Vision Coverage
Wellness is also about keeping your eyes healthy. When you visit your
eye doctor, they are not just looking for vision problems. Your eyes
are an indicator of your overall health, and eye exams can reveal early
warning signs of eye disease, as well as serious health problems such as
high blood pressure, high, cholesterol, and diabetes. Regardless of your
age, it is recommended that you have your eye exam once a year. Visit
www.eyemedvisioncare.com or call 1-866-939-3633 to find an EyeMed
INSIGHT network provider.
Vision Plan Highlights
Summary of Services In-Network Out-of-Network
Eye Exams (Well Vision Exams) You will be reimbursed:
(once every 12 months) $15 copay Up to $45
Lenses You will be reimbursed:
(once every 12 months)
• Single Vision $30 copay then 100% Up to $35
• Bifocal $30 copay then 100% Up to $50
• Trifocal $30 copay then 100% Up to $65
• Lenticular $30 copay then 100% Up to $70
Frames 1 $130 retail frame allowance You will be reimbursed:
20% off the amount over
(once every 24 months) your allowance Up to $70
Contact Lenses—Elective 2 You will be reimbursed:
(once every 12 months) Up to $105 allowance 3 Up to $90
Contact Lenses You will be reimbursed:
Medically Necessary Covered in Full 4 Up to $210
Benefit Disclosure—The above chart is for illustrative purpose only; actual benefits described in SPD will prevail.
¹The insured is responsible for paying any charges in excess of this allowance.
2 Contact Lenses are in lieu of frames/lenses.
3 Your $105 allowance is applied to the fitting/evaluation fees as well as the purchased of contact lenses.
4 The Necessary contact lenses are determined at the provider’s discretion for one or more of the following conditions: Following cataract surgery; To correct
extreme vision problems that cannot be corrected with spectacle lenses; With certain conditions of anisometropia; With certain conditions of keratoconus.
If your provider considers your contacts necessary, you should ask your provider to contact EyeMed concerning the reimbursement that EyeMed will make
before you purchase such contacts.
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