Page 8 - JONS EE Guide 08-18 - final English

BENEFITS

Vision Insurance

Guardian | PPO Vision Plan
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 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 Guardian.

Guardian Note
Plan Name PPO Plan Guardian’s Vision

Network Name VSP Non-Network plan utilizes the VSP
network, which has
Vision Benefits the largest network
of private-practice
Copay
- Examination $20 Copay N/A eye care doctors in
- Materials $20 Copay N/A the industry. VSP’s
network includes
Examination (Every 12 Months) No Charge $46 Reimbursement 37,000 access points
Lenses (Every 24 Months) nationwide. Most of
- Single Vision No Charge $47 Reimbursement the U.S. population
- Bifocal No Charge $66 Reimbursement lives within four
- Trifocal No Charge $85 Reimbursement miles of a VSP
- Lenticular No Charge $125 Reimbursement provider.
Frames (Every 24 Months) $120 Allowance, then 20% $47 Reimbursement
Contact Lenses (Every 24 Months) In Lieu of Frames and Lenses

- Cosmetic / Elective $120 Allowance $120 Reimbursement
- Medically Necessary No Charge $210 Reimbursement
Laser Vision Correction Discounts Apply Not Covered

Finding a Vision Provider
Go to www.guardiananytime.com or call (800) 459-9401. Refer to the “VSP” network when prompted.

Employee Assistance Program

Guardian | Work-Life Matters

The Work-Life Matters Employee Assistance Program (EAP) through Guardian 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.

Accessing the EAP
To access EAP benefits, go to www.ibhworklife.com (Company Name: Matters, Password: wlm70101)or you
may call (800) 386-7055 to be immediately connected to an EAP counselor.

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