Page 13 - Arrowhead Credit Union Benefit Guide 2019 - Final

EyeMed | PPO Vision Plan
The EyeMed 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 EyeMed.

EyeMed Note
Plan Name PPO Plan The EyeMed
network includes
Network Name Network Non-Network
access to
Vision Benefits independent

Examination (Every 12 Months) $20 Copay Up to $35 Reimbursement ophthalmologists
and optometrists,
Lenses (Every 12 Months) as well as
- Single Vision $0 Copay Up to $35 Reimbursement LensCrafters®,
- Bifocal $0 Copay Up to $49 Reimbursement Target Optical,
- Trifocal $0 Copay Up to $74 Reimbursement Sears Optical,
Frames (Every 12 Months) $130 Allowance, 20% Up to $65 Reimbursement JCPenney Optical
and most Pearle
Contact Lenses (Every 12 Months) In Lieu of Frames and Lenses
Vision retail
- Cosmetic / Elective $130 Allowance, 15% Up to $104 Reimbursement stores.
- Medically Necessary Covered in full Up to $200 Reimbursement

Finding a Vision Provider
Go to www.eyemed.com or call (866) 723-0513. Refer to the “Access” network when prompted.

Cigna | Employee Assistance Program
The Employee Assistance Program (EAP) through Cigna 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.mycigna.com or you may call (877) 622-4327 to be immediately
connected to an EAP counselor. Refer to your employer ID—”arrowhead.”

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