Page 11 - Petroleum Mktg EE Guide 12-19
P. 11

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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