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                                                         at-bat: vision benefits












        We offer a voluntary vision plan through EyeMed Vision Care Services to help keep you and your family seeing clearly. EyeMed has
        an extensive national network of vision care providers through the Insight Network. When you use an EyeMed network provider, you
        pay less out-of-pocket. You also have the freedom to use any provider outside of the EyeMed network and receive reimbursement
        up to certain limits. Below is a summary of the vision care benefits.
        For more information on coverage, limitations and exclusions, refer to the EyeMed Vision Care Services benefit summary.


                                                  Vision Plan at-a-glance
                                                                       in-network                 Out-of-network
                                                                                                Reimbursed up to...
         Routine Eye Exam (once every 12 months)                        $10 copay                       $40
         Contact Lens Fit & Follow Up
         Ÿ Standard                                                     Up to $55                       N/A
         Ÿ Premium                                                     10% off retail                   N/A
         Frames (once every 12 months)                         $150 allowance; 80% of charge         Up to $105
                                                                        over $150
         Lenses (once every 12 months)
         Ÿ Single Vision                                                $25 copay                    Up to $30
         Ÿ Bifocal                                                      $25 copay                    Up to $50
         Ÿ Trifocal                                                     $25 copay                    Up to $70
         Ÿ Lenticular                                                   $25 copay                    Up to $50
         Lens Options such as...
         Ÿ UV Treatment                                                 $15 copay                       N/A
         Ÿ Standard Plastic Scratch Coating                             $15 copay                       N/A
         Ÿ Standard Polycarbonate                                       $40 copay                       N/A
         Ÿ Standard Anti-Reflective Coating                             $45 copay                       N/A
         Contact Lenses
         Ÿ Conventional                                         $130 allowance; 15% off retail       Up to $130
                                                                      price over $130
         Ÿ Disposable                                            $130 allowance + balance            Up to $130
                                                                        over $130
         Ÿ Medically Necessary                                          Paid in full                 Up to $210



















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