Page 8 - JONS EE Guide 08-17 - final English 1
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BENEFITS






         Vision Insurance

         Guardian | PPO Vision Plan
         The Guardian vision plan provides professional vision care and high quality lenses and frames through a broad network of optical
         specialists. You  will receive richer benefits if you utilize a network provider. If you utilize a non‐network provider, you will be
         responsible to pay all charges at the time of your appointment and will be required to file an itemized claim with Guardian.


                                                               Guardian                            Note
         Plan Name                                             PPO Plan                            Guardian’s Vision

         Network Name                                VSP                   Non-Network             plan utilizes the VSP
                                                                                                   network, which has
         Vision Benefits                                                                           the largest network
                                                                                                   of private-practice
         Copay
          - Examination                           $20 Copay                    N/A                 eye care doctors in
          - Materials                             $20 Copay                    N/A                 the industry. VSP’s
                                                                                                   network includes
         Examination (Every 12 Months)            No Charge             $46 Reimbursement          37,000 access points
         Lenses (Every 24 Months)                                                                  nationwide. Most of
          - Single Vision                         No Charge             $47 Reimbursement          the U.S. population
          - Bifocal                               No Charge             $66 Reimbursement          lives within four
          - Trifocal                              No Charge             $85 Reimbursement          miles of a VSP
          - Lenticular                            No Charge             $125 Reimbursement         provider.
         Frames (Every 24 Months)           $120 Allowance, then 20%    $47 Reimbursement
         Contact Lenses (Every 24 Months)               In Lieu of Frames and Lenses

          - Cosmetic / Elective                 $120 Allowance          $120 Reimbursement
          - Medically Necessary                   No Charge             $210 Reimbursement
         Laser Vision Correction                Discounts Apply            Not Covered




                        Finding a Vision Provider
                        Go to www.guardiananytime.com or call (800) 459-9401. Refer to the “VSP” network when prompted.





         Employee Assistance Program


         Guardian | Work-Life Matters

         The Work-Life Matters Employee Assistance Program (EAP) through Guardian provides you and your household members with
         free, confidential assistance to help with personal or professional problems that may interfere with work or family responsibilities
         and obligations. Services are available 24 hours a day, 7 days a week via a toll-free nationwide number.


                        Accessing the EAP
                        To access EAP benefits, go to www.ibhworklife.com (Company Name: Matters, Password: wlm70101)or you
                        may call (800) 386-7055 to be immediately connected to an EAP counselor.






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