VISION INSURANCE
Colonial Distributing offers vision coverage through Guardian. The Vision PPO Plan allows you to use in-network or out-of-network benefits. If out-of-network vision providers are used, you will be responsible for paying the difference between Guardian’s allowed amount and what the provider may charge, also known as “balance billing”.
Vision
Routine Eye Exams
$10 Copay
Lenses*
Single Bifocal Trifocal Lenticular
$25 Copay $25 Copay $25 Copay $25 Copay
Frames
$130 allowance
Elective: $130 allowance Medically Necessary: Covered in Full, after Copay
Contact Lenses
Frequency Exam
Once every 12 months
Lenses or contact lenses
Once every 12 months
Frame
Once every 24 months
• Lenses, Frames & Contacts are limited to either one pair of contacts or frames/lenses per calendar year.
Vision (Bi-Weekly Deductions)
Employee Contributions
Employee Only
$ 0.60 $ 3.27 $ 4.25 $ 6.96
Employee + Spouse
Employee + Child(ren)
Family
6
Made with FlippingBook - professional solution for displaying marketing and sales documents online