Page 11 - Cylance EE Guide 01-19 All Employees

BENEFITS

Vision Insurance

Anthem Blue Cross | PPO Vision Plan
The Anthem Blue Cross 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 Anthem Blue Cross.

Anthem Blue Cross Note
Plan Name PPO Plan Anthem’s network

Network Name Blue View Vision Non-Network includes access to
more than 32,000
Vision Benefits providers and
provider locations
Copay
- Examination $10 Copay N/A including
- Materials $25 Copay N/A independent
ophthalmologists
Examination (Every 12 Months) No Charge after Copay $49 Reimbursement and optometrists, as
Lenses (Every 12 Months) well as
- Single Vision No Charge after Copay $35 Reimbursement LensCrafters®,
- Bifocal No Charge after Copay $49 Reimbursement Target Optical, Sears
- Trifocal No Charge after Copay $74 Reimbursement Optical, JCPenney
Optical and most
Frames (Every 12 Months) $150 Benefit, $50 Reimbursement Pearle Vision retail
then 20% Discount stores.
Contact Lenses (Every 12 Months) In Lieu of Frames and Lenses

- Cosmetic / Elective $150 Benefit, $92 Reimbursement
then 15% Discount
- Medically Necessary No Charge after Copay $250 Reimbursement
Laser Vision Correction Discounts Apply Not Covered

Finding a Vision Provider
Go to www.anthem.com/ca or call (866) 723-0515. Refer to the “Blue View Vision” network.

Employee Assistance Program

Mutual of Omaha
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. Services are available 24
hours a day, 7 days a week with unlimited telephone access to EAP professionals via a toll-free nationwide number. You and your
household members can receive up to 3 counseling sessions for each concern, face-to-face or as an online session using the EAP
website. Online, you’ll find tips on handling emotional well-being, family and relationships, legal and financial, will preparation,
healthy lifestyles, work and life transitions.

Accessing the Employee Assistance Program
Go to www.mutualofomaha.com/eap/ or call (800) 316-2796 for confidential consultation and resource services.

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