Page 13 - Lake Avenue Church Benefits Guide 2020
P. 13

Vision Benefits






         Vision Insurance

         Lincoln Financial | VisionConnect Plan
         The Lincoln VisionConnect vision plan provides professional vision care and high-quality lenses and frames through the Spectera
         Vision Network. 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 Lioncoln.



                                                                           Lincoln
         Plan Name                                                   VisionConnect Plan

         Network Name                                  In-Network                          Non-Network
         Vision Benefits                                                                  Reimbursement

         Examination (Every 12 Months)
                                                       $10 Copay                      Up to $40 reimbursement

         Lenses (Every 12 Months)
          - Single Vision                            $25 Copay, 100%                         Up to $40
          - Bifocal                                  $25 Copay, 100%                         Up to $60
          - Trifocal                                 $25 Copay, 100%                         Up to $80
         - Lenticlar                                 $25 Copay, 100%                         Up to $80
         Frames (Every 24 Months)                      Up to $130                            Up to $45
         Contact Lenses (Every 12 Months)                          In Lieu of Frames and Lenses
          - Covered Contact  Lens Section            $25 Copay, 100%                        Up to $125
          - Medically Necessary                      $25 Copay, 100%                        Up to $210
         Laser Vision Correction                     Discounts Apply                        Not Covered





                     Finding a Spectera Vision Provider
                     Go to www.lvc.lfg.com or call (800) 440-8453.
                     Refer to the Lincoln Spectera Network when prompted.






























                                                                                                                  13
   8   9   10   11   12   13   14   15   16   17   18