Vision Plan | Highlights
Eligibility
First day of the month after 30 days of employment. Full-time staff only (minimum of 30 hours a week).
Plan Highlights
InNetwork
Out ofNetwork
Annual Exam
$10 copay every 12months
$45 allowance
Single Lense
$25 every 12 months
$30 allowance
Bifocal Lense
$25 every 12 months
$50 allowance
Trifocal Lense
$25 every 12 months
$65 allowance
Frames
$150 + 20% off balance every 24months
$70 allowance
Elective Contacts
$150
$105 allowance
Necessary Contacts
$25 per 12 months
$210 allowance
Employee Contributions
Pre-tax Monthly Contribution
Per Pay Period
Employee
$6.94
$3.20
Employee + Spouse
$12.91
$5.96
Employee + Child(ren)
$13.49
$6.23
Family
$20.77
$9.59
34
Made with FlippingBook - professional solution for displaying marketing and sales documents online