Page 29 - MPCU Open Enrollment Presentation
P. 29

Vision EyeMed













                                                                                                                         EyeMed




                                                                                              Insight                                            Non-Network


          Deductible                                                                                                        $20

          Exam (Every 12 Months)                                                           $20 Copay                                             $40 Allowance


          Lenses (Every 12 Months)

           - Single Vision                                                                 No Charge                                             $30 Allowance

           - Lined Bifocal                                                                 No Charge                                             $50 Allowance

           - Trifocal                                                                      No Charge                                             $70 Allowance


          Frames (Every 12 Months)                                                        $150 Benefit                                          $105 Allowance


          Contact Lenses                                                                                   In Lieu of Frames & Lenses

           - Cosmetic / Elective                                                          $150 Benefit                                          $150 Allowance
   24   25   26   27   28   29   30   31   32   33   34