Page 14 - Murad Benefits Guide 2020 CA
P. 14

VISION &
                  DENTAL













         Vision Plan Choices


         EYEMED | VISION PLAN
         Murad provides vision coverage through EyeMed Vision. You can see an EyeMed in-network provider or an out-of-network provider,
         however, your costs will be lower if you visit an in-network provider. If you visit an in-network provider you will be responsible for
         a copayment at the time of your service. If you receive services from an out-of-network doctor, you will pay all costs at the time
         of service and submit a claim for reimbursement.


                                                                            EyeMed Vision
         Plan Name                                                              PPO
         Network Name                                      In-Network                        Non-Network
         Vision Benefits
         Copay
          - Examination (Every 12 Months)                   $10 Copay                   Up to $40 Reimbursement
          - Materials                                       No Charge                            N/A
         Lenses (Every 12 Months)
          - Single Vision                                   No Charge                   Up to $30 Reimbursement
          - Bifocal                                         No Charge                   Up to $50 Reimbursement

         Frames (Every 12 Months)                  $150 Benefit + 20% off balance      Up to $105 Reimbursement
         Contact Lenses (Every 12 Months)                                  (in lieu of lenses)
          - Cosmetic / Elective                    $150 Benefit + 15% off balance      Up to $150 Reimbursement
          - Medically Necessary                             No Charge                  Up to $210 Reimbursement
         Laser Vision Correction                         Discounts Apply                     Not Covered

         Cost Per Pay Period (26 per year)
          - Employee                                                           $0.00
          - Employee + spouse                                                  $3.23
          - Employee + child(ren)                                              $4.15
          - Employee + family                                                  $7.85


                                                         VISION VALUE-ADDS
                                                         •   Members will receive a 20% discount on remaining balance at partic-
             FINDING A VISION PROVIDER:
                                                            ipating providers beyond plan coverage; this does not pertain to
                                                            disposable contacts.
             Log on to www.enrollwitheyemed.com and      •   Save 15% off the retail price or 5% off the promotional price for
             choose SELECT from the provider locater        LASIK or PRK procedures.
             dropdown box. You can also call
             866-939-3633.                               •   Discounts on hearing aids and exams through Amplifon
                                                         •   With Sun Perks through EyeMed, you'll receive $20 off any purchase,
                                                            or $50 off a purchase of $200 or more toward premium, non-
                                                            prescription sunglasses at Sunglass Hut (some limitations apply, see
                                                            the flyer on the benefits website for more details).
    14  MURAD EMPLOYEE BENEFITS
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