2018 AAPL Benefits Guide

VISION INSURANCE

AAPL offers vision coverage through Advantica. The Advantica vision plan allows you the flexibility to see any provider. To search in-network providers go to www.AdvanticaBenefits.com and search under “future member”. For out-of-network claims you pay expenses at the time of service and file a claim for reimbursement. Below is a list of the reimbursement schedule.

Your vision is important to your health. Whether your vision is 20/20 or less than perfect, everyone should receive regular vision care.

Vision

In-Network

Out-of-Network

Routine Eye Exams

$10 copay

$10 copay

Lenses

Every 12 months

Single Vision Bifocal Trifocal Lenticular

Standard Plastic :

Standard Plastic :

Covered in full after $10 copay

Reimbursed up to $100

Upgraded Materials or Lens types: Polycarbonate Lenses: Covered in full (ages 19 and under)

Upgraded Materials or Lens types: Not covered

Standard Progressives: additional $50 copay Photochromic Lenses: additional $60 copay

Frames

Every 12 months

$150 retail allowance

Reimbursed up to $60

Contact Lenses

Every 12 months

Elective Contact Lenses Medically Necessary

$150 retail allowance $250 retail allowance

Reimbursed up to $80 Reimbursed up to $250

Contact Lens Fitting

$40 allowance

Not covered

• Covered lenses include single vision, bifocal, trifocal and lenticular. • Lenses, Frames & Contacts are limited to either one pair of contacts or frames/lenses per calendar year.

Employer Cost Monthly

Employee Cost Monthly

Employee Cost Bi-Weekly

Vision

Employee Only

$ 7.39

$ 0.00

$ 0.00

Employee + Spouse

$ 7.39

$ 6.46

$ 2.98

Employee + Child(ren)

$ 7.39

$ 8.32

$ 3.84

Employee + Family

$ 7.39

$ 15.50

$ 7.15

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