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BENEFITS

Vision Insurance

United Healthcare | PPO
The United Healthcare 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 United Healthcare.

United Healthcare Note
Plan Name PPO United Healthcare

Network Network Non-Network offers a diverse
network of nearly
Vision Benefits 60,000 access points
nationally. This
Copay
- Examination $15 Copay N/A includes both
- Materials N/A N/A private and leading
retail chain
Examination (Every 12 Months) 100% $40 Reimbursement providers such as
Lenses (Every 12 Months) Costco, Eyeglass
- Single Vision 100% $40 Reimbursement World, National
- Bifocal 100% $60 Reimbursement Vision, Sam’s Club,
- Trifocal 100% $80 Reimbursement Walmart and more.
- Lenticular 100% $80 Reimbursement
Frames (Every 24 Months) $130 Allowance $45 Reimbursement
Contact Lenses (Every 12 Months) In Lieu of Frames and Lenses

- Cosmetic / Elective $125 Allowance $125 Reimbursement
- Standard Fitting 100% Not Covered
Laser Vision Correction Discounts Apply Not Covered

Finding a Vision Provider
Go to www.myuhcvision.com or call (800) 638-3120.

Employee Assistance Program

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
Go to www.cignabehavioral.com/CGI (User Name: rewards | Password: savings) or call (800) 538-3543 to be
immediately connected to an EAP counselor.

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