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 PPO vision plan is through Unum and offers “in and out-of-network” benefits.
To find an in-network provider, visit www.unum.com/findfieldoffice
Insurance Carrier:
Unum Vision Insurance
Plan Type:
EyeMed
In-Network
Out-of-Network
Exam Services
$10
up to $40 up to $30 up to $50 up to $70 up to $70
Lenses - Single lined Lenses - Bifocal lined Lenses - Trifocal lined Lenses - Lenticular lined
$10 Copay $10 Copay $10 Copay $10 Copay
$130 Allowance; then 20% off remaining balance
Frames
up to $91
Elective Contact Lenses (in place of lenses & frames)
up to $130; Medically necessary up to $210
$130 Allowance
Frequency: Exam / Lenses / Frames
once every: 12 months / 12 months / 12 months
Employee Weekly Deduction Employee Only
$1.58 $3.15 $3.59 $5.59
Employee + Spouse Employee + Child(ren)
Family
12 Country’s Barbecue 2023 Enrollment Guide
Made with FlippingBook - professional solution for displaying marketing and sales documents online