Vision
DEX Imaging offers vision coverage through Sunlife Financial. The vision plan allows you the flexibility to see any provider. Your provider may ask you to pay expenses at the time of service and then file a claim for reimbursement. Below is a list of the reimbursement schedule.
Vision VSP Provider Network
IN‐NETWORK EXAMS
Every 12 months $10 Copay
LENSES
Every 12 months
Single vision Lined bi‐focal Lined tri‐focal Lenticular
$25 Copay (lens add‐ons may be available at a discount of 20% off retail prices)
FRAMES
Every 24 months $25 Copay provides $130 allowance + 20% discount on overage
CONTACT LENSES (in lieu of glasses)
Every 12 months
Elective
Up to a $130 allowance
$25 Copay
Medically Necessary OUT‐OF‐NETWORK EXAMS
Reimbursed up to $52
LENSES
Reimbursed up to $55‐$125 depending on lenses
FRAMES
Reimbursed up to $57
CONTACT LENSES (in lieu of glasses)
Reimbursed up to $105 Cost for coverage (per paycheck)
Employee
$2.89 $5.79 $6.37 $9.26
Employee + Spouse Employee + Child(ren) Employee + Family
The chart below provides a brief overview of the vision plan. This chart is intended only to highlight the benefits available and should not be relied upon to fully determine your coverage. If the below illustration of benefits conflicts in any way with the Summary Plan Description (SPD), the SPD shall prevail. It is recommended that you review your exact description of services and supplies that are covered, those which are excluded or limited, and other terms and conditions of coverage.
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