Vision Benefits
Effective October 1, 2020
This is a snapshot of the coverage offered through the 2020-2021 Vision plans.
BENEFITS
UNUM (AlwaysCare)
Eye Exam
Network
$0 Copay
Non-Network
Up to $40 Reimbursement
Frames/ Lens Single Vision
Network
$20 Copay
Non-Network
Up to $40 Reimbursement
Bifocal Lenses
Network
$20 Copay
Non-Network
Up to $60 Reimbursement
Trifocal Lenses
Network
$20 Copay
Non-Network
Up to $80 Reimbursement
Frames
Network
$150 Allowance
Non-Network
Up To $50 Reimbursement
Contacts *In Lieu of Glasses Network
Medically Necessary
$0 Copay/Covered in Full
Elective
$160 Allowance
Non-Network
Medically Necessary
Up to $210 Reimbursement Up to $160 Reimbursement
Elective
Exam Frequency Lens Frequency Frames Frequency Network Website
12 Months 12 Months 24 Months
www.alwaysassist.com
First Look/AlwaysCare Network
NOTE: This is a brief summary and not intended to be a contract.
Vision Costs Employee Only Employee +1
Per Pay Period
$1.85 $3.43 $5.04
Employee +2 or More
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