Page 13 - Wellbiz Brands Benefit Guide 2020

BENEFITS

VISION INSURANCE

VSP | PPO Vision Plan
The VSP 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 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 VSP.

VSP Note:
PLAN NAME PPO VSP has the largest
network of private-
Network Name Choice Non-Network practice eye care
Vision Benefits doctors in the
industry. VSP’s
Copay network includes
- Examination $10 Copay N/A 50,000 access points
- Materials $25 Copay N/A nationwide. VSP also
contracts with
Examination (Every 12 Months) 100% $45 Reimbursement
Costco Optical,
Lenses (Every 12 Months) Visionworks, and
- Single Vision 100% $30 Reimbursement other affiliate retail
- Bifocal 100% $50 Reimbursement providers. Please
- Trifocal 100% $65 Reimbursement note, benefits may
vary at affiliate
Frames (Every 12 Months) $130 Allowance $70 Reimbursement
locations.
Contact Lenses (Every 12 Months) In Lieu of Frames and Lenses
- Cosmetic / Elective $130 Allowance $105 Reimbursement
- Medically Necessary 100% $210 Reimbursement

Laser Vision Correction Discounts Apply Not Covered

Finding a Vision Provider
Go to www.vsp.com or call (800) 351-7500. Refer to the Choice network when prompted.

EMPLOYEE ASSISTANCE PROGRAM

Reliance Standard | Employee Assistance Program
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. Services are
available 24 hours a day, 7 days a week via a toll-free nationwide number. You and
your household members can receive up to 3 counseling sessions per person, per
problem, per year.

Accessing the EAP
Go to http://rsli.acieap.com or call (855) 775-4357 to be
immediately connected to an EAP counselor.

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