Page 14 - Work Life and Benefits Booklet 2018 - SDC.END.pub

LASIK and PRK Benefit: You are entitled to a 15% discount
procedures, or a 5% discount on any promotional pricing,
Stamps.com provides vision coverage through EyeMed Vision through the Select network. You can see an EyeMed in-network provider or an out-of-network
provider, however, your costs will be lower if you visit an in-network provider. If you visit and in-network provider you will be responsible for a copayment
on the usual and customary fees for LASIK and PRK

at the time of your service. If you receive services from an out-of-network doctor, you’ll pay all costs at the time of service and submit a claim for

Additional Discounts Available

Network. whichever is the greater benefit, through the U.S. Laser Continued Eyewear Savings: After your initial visits have been utilized, you are able to receive ongoing discounts on additional eye wear purchases at EyeMed provider locations, which result in discounts up to 40% off the retail price of eye wear and accessories. Contact Lens by Mail Program: You may order replacement contact

NON-NETWORK Up to $35 reimbursement Up to $35 reimbursement Up to $49 reimbursement Up to $74 reimbursement Up to $65 reimbursement Up to $96 reimbursement

EYEMED PPO

Vision Plan

SELECT NETWORK $0 Copay $25 Copay $25 Copay $25 Copay $130 Allowance $120 Allowance

Go to www.eyemedvisioncare.com to find a provider near you. Refer to the The EyeMed network includes access to independent ophthalmologists and optometrists, as well as LensCrafters®, Target Optical, Sears Optical, JCPenney Optical, and most Pearle Vision retail stores.

EyeMed Vision Plan reimbursement. You will receive a separate vision ID card. PLAN NAME NETWORK NAME Once Every 12 Months Once every 12 months Single Vision Once every 24 months Contact Lenses (in lieu of glasses) Once every 12 months FINDING A VISION PROVIDER Select network when prompted. Vision Plan

Biofocal
Frames
Trifocal
Lenses
Exam

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