Page 8 - Catasys Benefit Guide 2019-2020

Vision Benefits | Employee Assistance Benefits

Vision Insurance

Guardian | Voluntary 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
Vision Benefits PPO Plan
Network Name Davis
In-Network Non-Network
Examination 100% after $10 Copay Plan pays up to $50
Lenses
- Single Vision 100% after $25 Copay Plan pays up to $48
- Bifocal 100% after $25 Copay Plan pays up to $67
- Trifocal 100% after $25 Copay Plan pays up to $86

Frames Plan pays up to $120; Plan pays up to $60
20% Off Balance Over $120
Contact Lenses In Lieu of Frames and Lenses

- Cosmetic / Elective Plan pays up to $120 Plan pays up to $105

Laser Vision Correction Discounts Apply Not Covered

Frequency
- Examination Every 12 months
- Lenses Every 12 months
- Frames Every 24 months

Finding In-Network Vision Providers
Go to www.guardiananytime.com or call (888) 600-1600. Refer to the Davis network when prompted.

Employee Assistance Program
The Employee Assistance Program (EAP) through Magellan 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. You and your household members can also
receive face-to-face counseling visits. To access EAP benefits, go to www.magellanhealth.com/member or call (800) 523-5668.

The Burnham Advocate Help-Line: (800) 391-6812

The Burnham Advocate toll-free customer service help-line can provide assistance with insurance related
issues when you are unable to resolve them directly with your insurance carriers. You will receive fast, skilled assis-
tance with Medical, Dental and Vision provider issues, referral assistance, and claims management.

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