Page 12 - Burnham Benefits Guide 2017
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VISION INSURANCE



        The 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 for paying all charges at the time of your appointment and will be required to file an itemized claim with
        Guardian.


                                                                             Guardian / VSP
         Plan Features                                                    Full Feature PPO Plan

         Network                                         VSP Signature Network                Non-Network
         Copay                                                        $10 Examination / $25 Materials
         Examination                                           No Charge                   $50 Reimbursement
         Lenses
          Single Vision                                        No Charge                   $48 Reimbursement
          Bifocal                                              No Charge                   $67 Reimbursement
          Trifocal                                             No Charge                   $86 Reimbursement
         Frames                                             $130 Allowance                 $48 Reimbursement
                                                      20% Discount Over Allowance
         Elective Contact Lenses                            $130 Allowance                 $130 Reimbursement
         (in lieu of frames and lenses)
         Laser Correction Surgery Discount           Up to 15% Off the Usual Charge            No Discount
                                                       or 5% Off Promotional Price
         Frequency
          Examination                                                          12 Months
          Lenses                                                               12 Months
          Frames                                                               24 Months
          Contact Lenses                                                       12 Months

        Guardian utilizes the VSP network, which has the largest network of private-practice eye care doctors in the industry. VSP’s
        network includes 37,000 access points nationwide.

              FINDING A VISION PROVIDER:

              •   Guardian (VSP) Vision Plan: Log into www.guardiananytime.com or call (877) 814-8970. Refer to the VSP
                  Signature network

        EMPLOYEE ASSISTANCE PROGRAM



        The Employee Assistance Program (EAP) through Standard Insurance provides employees and their household members
        with free, confidential assistance to help with personal or professional issues that may interfere with work or family
        responsibilities and obligations. Services are available 24 hours a day, seven days a week via a toll-free nationwide number.
        Employees and their household members can receive up to three counseling sessions per person, per issue, per year.



              ACCESSING THE EAP PLAN:
              •   Log into www.eapbda.com (login: standard / password: eap4u) or call (888) 293-6948 to be connected to an
                  EAP counselor




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