Page 18 - Omega Benefits Guide

Voluntary Vision Benefits

Policy #OMECONIN01

Community Eye Care
Voluntary Vision
Network Provider Non-network
Provider
Copays:
Eye Exam $10 See below

Materials $25 See below
Frequency of Services:

Eye Exam Once per 12 Months

Lenses Once per 12 Months

Frames Once per 12 Months

Materials Benefits:

Single Vision

Bifocal Lenses $150 allowance; The member submits

Trifocal Lenses Members who exceed a claim to CEC & is

Lenticular Lenses allowance are eligible reimbursed for the

Frames for 20% discount on cost of the exam and
glasses and 10% eyewear, minus the
Elective Contact Lenses (Professional

Fees & Materials) discount on contact copay. There is no
lenses when seeing a out-of-network
Medically Necessary Contact Lenses network provider. penalty.

(Professional Fees & Materials)

CEC has a large network of providers including Wal-Mart Vision Center, Lens Crafters, JC Penney, Sam’s
Club and many more. There are no claims to file when you see an in-network provider. Network
providers file claims on your behalf. If you see a non-network provider, simply submit a claim form and a
receipt to Community Eye Care.

How to use the benefit:
1. Select a provider from the Community Eye Care provider network.
a. To locate a provider in your area go to cecvision.com and search by: county, doctor’s
last name, practice name or zip code.
2. Call the provider to make an appointment, and let them know that you have Community Eye
Care coverage.
3. See the doctor and select your eyewear.
4. Your only payments to the provider are your co-pays, plus any discounted amount that exceeds
the $150 eyewear allowance.

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