Vision Coverage
The vision plan covers routine eye exams and also pays for all or a portion of the cost of glasses or contact lenses if you need them. Your vision plan is through Equitable and offers “in and out-of-network” benefits.
Insurance Carrier:
Equitable Vision Insurance
Plan Type:
In-Network $10 Copay $10 Copay $10 Copay $10 Copay
Out-of-Network
Exam Services
Up to $45 Up to $30 Up to $50 Up to $65 Up to $105 Up to $70
Lenses - Single lined Lenses - Bifocal lined Lenses - Trifocal Contacts / Lenses
$ 150 allowance
Frames
$150 allowance; then 20% off any remaining balance
Frequency for Exam / Lenses / Frames
12 months / 12 months / 24 months
Per Pay Period
Employee Only
$1.57 $3.14 $2.98 $4.69
Employee + Spouse Employee + Child(ren)
Family
6 ULTRA COMMERCIAL INTERIORS, INC. 2023 BENEFITS OVERVIEW
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