Page 10 - Galassos EE Guide 03-18 ENG_FINAL

BENEFITS

VISION INSURANCE

VSP | PPO Vision Plan
The 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 VSP.

VSP Note
Plan Name PPO Plan VSP has the largest

Network Name Choice Non-Network network of private-
practice eye care
Vision Benefits doctors in the
industry. VSP’s
Copay (Examination / Materials) $10 Copay / $25 Copay N/A
network includes
Examination (Every 12 Months) 100% $45 Reimbursement 37,000 access points
Lenses (Every 12 Months) nationwide. Most of
- Single Vision 100% $30 Reimbursement the U.S. population
- Bifocal 100% $50 Reimbursement lives within four
- Trifocal 100% $65 Reimbursement miles of a VSP
provider.
Frames (Every 12 Months) $130 Benefit $70 Reimbursement
Contact Lenses (Every 12 Months) In Lieu of Frames and Lenses
- Cosmetic / Elective $130 Benefit $105 Reimbursement
- Medically Necessary 100% $210 Reimbursement
Laser Vision Correction Discounts Apply Not Covered

Finding a Vision Provider
Go to www.vsp.com or call (800) 877-7195. Refer to the “Choice” network when prompted.

EMPLOYEE ASSISTANCE PROGRAM

Guardian | Employee Assistance Program
The Employee Assistance Program (EAP) through WorkLifeMatters 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 via a toll-free nationwide number or up to 3 free sessions of
referrals to local counselors.

An EAP counselor is available daily on a 24-hour basis to provide help during crisis situations. The telephonic EAP hotline is always
staffed and you will receive personal attention. Counselors will refer you to one of their off-site locations to discuss your problems
and recommend a course of action that best suits your needs. Your initial session with an EAP counselor is required for assessment
and is free to you and your eligible household members. If further help past the initial sessions is necessary, EAP counselors will
assist you in coordinating additional treatment.

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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