Page 11 - L'Abri Management 2020 Benefits Guide

Vision Benefits

Sun Life | Voluntary Vision Plan
The Sun Life VSP 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
Sun Life.

Sun Life
PPO Plan Note:
Network Name VSP Signature Network Non-Network VSP has the largest
Vision Benefits network of private-
practice eye care doctors
Examination $10 Copay Up to $52 in the industry. VSP’s
Lenses $25 Copay N/A network includes 50,000
access points nationwide.
Lenses
- Single Vision 100% Up to $55 VSP also contracts with
- Bifocal 100% Up to $75 Costco Optical, Eye Care
Centers of America /
- Trifocal 100% Up to $95
Visionworks, and other
$130 Allowance affiliate retail providers.
Frames 20% off amount over allow- Up to $57 Please note, benefits may
ance vary at affiliate locations.

Contact Lenses In Lieu of Frames and Lenses
- Cosmetic / Elective $130 Allowance Up to $105
- Medically Necessary No Charge Up to $210
Frequency
- Examination Once Every 12 Months
- Lenses Once Every 12 Months
- Frames Once Every 24 Months
- Contact Lenses Once Every 12 Months

Finding a Vision Provider
Visit www.vsp.com or call (800) 877-7195 to find a vision provider near you. Select “Find a Doctor” then
Search by name or location. Refer to your applicable network. VSP Signature Network.

Blue Shield | Employee Assistance Program

The Blue Shield, Life Referrals 24/7, Employee Assistance Program (EAP) provides employees and their 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.
Employees and their household members can receive up to 3 counseling sessions per person, per problem, per year.

Accessing the EAP

To access EAP benefits, go to www.LifeReferrals.com or you may call (800) 985-2405.
Access code: BSL

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