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BENEFITS

Vision Insurance

Guardian | PPO
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 use a non‐network provider, you will be
responsible for paying all charges at the time of your appointment and will be required to file an itemized claim with Guardian.

Guardian Note
Plan Name PPO The Guardian Vision
network includes
Network Name Guardian Vision Non-Network
access to
Vision Benefits independent
ophthalmologists
Copay
and optometrists, as
- Examination $20 Copay N/A
well as Walmart,
- Materials $20 Copay N/A
JCPenney, Sears,
Examination (Every 12 Months) No Charge after Copay $59 Reimbursement Target, Sam’s Club,
Costco, Pearle
Lenses (Every 12 Months)
Vision, America’s
- Single Vision No Charge after Copay $30 Reimbursement
Best, For Eyes, and
- Bifocal No Charge after Copay $50 Reimbursement Visionworks retail
- Trifocal No Charge after Copay $65 Reimbursement
stores.
Frames (Every 24 Months) $130 Allowance, 20% Discount $70 Reimbursement
Contact Lenses (Every 12 Months) In Lieu of Frames and Lenses
- Cosmetic / Elective $130 Allowance $120 Reimbursement
- Medically Necessary 100% $210 Reimbursement

Finding a Vision Provider
Go to www.guardiananytime.com or call (888) 600-1600.

Employee Assistance Program

Guardian | Employee Assistance Program
This coverage is provided by Petroleum Marketing Equipment at no cost to you
The Employee Assistance Program (EAP) 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.

You and your household members can receive:
• Up to 3 face-to-face counseling sessions with a licensed mental health practitioner
• 24/7 phone consultations with licensed mental health professionals and referrals to supportive resources
• Online programs to offer something different than traditional counseling

Accessing the EAP
Go to www.ibhworklife.com (User Name: Matters | Password: wlm70101) or you may call (800) 386-7055
to be immediately connected to an EAP counselor.

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