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BENEFITS

Vision Insurance

Meritain Health (VSP) | PPO Vision Plan
The vision plan provides professional vision care and high quality lenses and frames through a broad network of optical specialists.
Using a VSP “Signature” network provider helps you stretch your benefit dollars. 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.
Meritain Health (VSP)
Plan Name PPO Plan
Network Name VSP Signature Non-Network
Vision Benefits Note

Calendar Year Deductible $25 $25 VSP has the largest
network of
Examination private-practice eye
- Ophthalmologist $75 Benefit $75 Reimbursement care doctors in the
- Optometrist $65 Benefit $65 Reimbursement industry. VSP’s

Lenses network includes
- Single Vision $70 Benefit $70 Reimbursement 37,000 access points
- Bifocal $90 Benefit $90 Reimbursement nationwide. Most of
- Trifocal $95 Benefit $95 Reimbursement the U.S. population
- Lenticular $130 Benefit $130 Reimbursement lives within four miles
of a VSP provider.
Frames $110 Benefit $110 Reimbursement
Contact Lenses In Lieu of Frames and Lenses
- Cosmetic / Elective $130 Benefit $130 Reimbursement
- Medically Necessary 20% of U&C to $250 Benefit 20% of U&C to $250 Benefit
Frequency

Examination 12 Months
Lenses 12 Months
Frames 12 Months
Contact Lenses 12 Months

Finding a Vision Provider
Online: Go to www.vsp.com. Refer to the VSP “Signature” network when prompted
Telephone: Call Meritain at (800) 925-2272

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 or your
household members can receive 3 face-to-face counseling sessions per household per calendar year. Online, you’ll find tips on han-
dling emotional well-being, family and relationships, legal and financial matters, will preparation, healthy lifestyles, work and life
transitions.

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

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