Vision
JL Marine Systems offers vision coverage through Guardian. The vision plan allows you the flexibility to see any provider. You may go to any vision provider, however those who belong to the David Vision network will be most cost effective. Your provider may ask you to pay expenses at the time of service and then file a claim for reimbursement.
Vision Davis Vision – Full Feature - Designer
IN-NETWORK EXAMS
Every 12 months $25Copay Every 12 months
LENSES
Single vision Lined bi-focal Lined tri-focal Lenticular
$25 Copay
FRAMES
Every 24 months
$150 allowance
CONTACT LENSES (in lieu of glasses)
Every 12 months
Elective Medically Necessary OUT-OF-NETWORK LENSES
$150 allowance Covered 100%
Reimbursed up to $48-$126 depending on lenses
FRAMES
Reimbursed up to$48
CONTACT LENSES (in lieu of glasses)
Reimbursed up to $105 or $210 (medically necessary) Cost for coverage Weekly Bi-Weekly
Employee
$0.90 $2.16 $2.13 $3.48
$1.80 $4.32 $4.27 $6.96
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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