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 Unum and offers “in and out-of-network” benefits. You can find vision providers at unumvisioncare.com
Insurance Carrier:
Unum Vision Insurance
Plan Type:
EyeMed
In-Network $10 Copay $60 Copay $10 Copay $10 Copay $10 Copay
Out-of-Network
Exam Copay
Up to $35 Up to $31 Up to $25 Up to $40 Up to $50 Up to $50
Contact Lens Exam Copay
Lenses - Single lined Lenses - Bifocal lined Lenses - Trifocal Lenses - Lenticular
$80 Allowance
$ 130 Allowance; then 20% off remaining balance
Frames
Up to $50
Elective Contact Lenses (in place of lenses & frame) Medically Necessary Contacts
$130 Allowance
Up to $100
$210 Allowance
Up to $210
Frequency for Exam / Lenses / Frames Employee Semi-Monthly Deduction Employee Only
12 months / 12 months / 24 months
$0.80 $1.60 $1.78 $2.79
Employee + Spouse Employee + Child(ren)
Family
15 COMMUNITY ACTION FOR IMPROVEMENT, INC. 2022 BENEFITS GUIDE
Made with FlippingBook - professional solution for displaying marketing and sales documents online