Page 10 - Column Five EE Guide 12-19 -National
P. 10

BENEFITS





         Vision Insurance


         Guardian | PPO
         The Guardian 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 use 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
         Plan Name                                               PPO                               Note
                                                                                                   Our Vision plan
         Network Name                              Davis                    Non-Network            through Guardian
         Vision Benefits                                                                           utilizes the Davis
                                                                                                   Vision network,
         Copay                                                                                     including access to
          - Examination                          $10 Copay                      N/A                93,000 points of
          - Materials                            $10 Copay                      N/A                access, including
                                                                                                   Visionworks, Costco,
         Examination (Every 12 Months)           No Charge               $50 Reimbursement
                                                                                                   Sam’s Club,
         Lenses (Every 12 Months)                                                                  Walmart, and For
          - Single Vision                        No Charge               $48 Reimbursement         Eyes retail stores.
          - Bifocal                              No Charge               $67 Reimbursement
          - Trifocal                             No Charge               $86 Reimbursement

         Frames (Every 12 Months)         $130 Allowance, 20% Discount   $48 Reimbursement
         Contact Lenses (Every 12 Months)               In Lieu of Frames and Lenses
          - Cosmetic / Elective           $130 Allowance, 15% Discount   $105 Reimbursement
          - Medically Necessary                  No Charge               $210 Reimbursement



                       Finding a Vision Provider
                       Go to www.guardiananytime.com or call (877) 393-7363. Refer to the “Davis” network when prompted.




         Employee Assistance Program



         Guardian | WorkLifeMatters
         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.

         You and your household members can receive:
         •   Up to three counseling sessions, face-to-face or online using WorkLifeMatters, for each concern, like job stress or family issues
         •   Online programs to offer something different than traditional counseling
         •   Access to quick and confidential help from legal and financial experts



                       Accessing the EAP
                       Go to www.ibhworklife.com (Program Name: WorkLifeMatters) or you may call (800) 386-7055 to be
                       immediately connected to an EAP counselor.
                       Username:  Matters      Password:  wlm70101     Group#: 491250


         10
   5   6   7   8   9   10   11   12   13   14   15