Page 11 - AMT Gordian TEXAS EE Guide 01-2020
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BENEFITS




         Vision Insurance



         United Healthcare | PPO
         The United Healthcare vision plan provides professional vision care, high-quality lenses, and frames through a broad
         network of optical specialists. You will receive richer benefits if you utilize a United Healthcare Vision Care 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 United Healthcare.

                                                                   UHC                             Note
         Plan Name                                                 PPO                             Our Vision plan
                                                                                                   through United
         Network Name                           UHC Vision Care            Non-Network             Healthcare utilizes
                                                                                                   the Spectera
         Vision Benefits                                                                           Eyecare network,
         Copay                                                                                     including access to
          - Examination                            $10 Copay                    N/A                over 35,000
          - Materials                              $15 Copay                    N/A                independent
                                                                                                   ophthalmologists
         Examination (Every 12 Months)        No Charge after Copay      $40 Reimbursement         and optometrists,
                                                                                                   as well Americas
         Lenses (Every 12 Months)                                                                  Best, Visionworks,
          - Single Vision                     No Charge after Copay      $40 Reimbursement         Walmart, Warby
          - Bifocal                           No Charge after Copay      $60 Reimbursement         Parker, Costco
          - Trifocal                          No Charge after Copay      $80 Reimbursement
                                                                                                   and many more.
         Frames (Every 24 Months)           $130 Allowance Wholesale  $45 Reimbursement Retail
         Contact Lenses (Every 12 Months)               In Lieu of Frames and Lenses
          - Cosmetic / Elective                  $130 Allowance          $105 Reimbursement
          - Medically Necessary                    No Charge             $210 Reimbursement



                        Finding a Vision Provider
                        Go to www.myuhc.com or call 800-638-3120




         Employee Assistance Program


         United Healthcare | Employee Assistance Program
         This coverage is provided by AMT at no cost to you
         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 3 face-to-face counseling sessions with a licensed mental health practitioner per household member
         •   24/7 phone consultations with licensed mental health professionals and referrals to supportive resources
         •   1 legal consultation of 30 minutes in person or over the phone.



                        Accessing the EAP
                        Go to www.liveandworkwell.com or you may call (877) 660-3806 to be immediately connected to an
                        EAP counselor.



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