VISION INSURANCE
The Company offers vision through Superior Vision, the vision network consists of optometrists, ophthalmologist opticians and optical retailers. You have the option of visiting any provider, however by choosing a participating provider, you receive the highest level of benefits. Additional discounts on Sunglasses and Laser Vision correction are also provided to members. You can find a provider list by visiting www. superiorvision.com or calling 800-507-3800 for more information. The chart below provides a brief overview of the plan.
English Enrollment Video-Superior Vision Spanish Enrollment Video-Superior Vision
Vision Superior Vision Network
In-Network
Out-of-Network
Routine Eye Exams
$10 Copayment
Reimbursed up to $33
Lenses Single Bifocal Trifocal Frames
$25 Copayment $25 Copayment $25 Copayment
Reimbursed up to $28 Reimbursed up to $40 Reimbursed up to $53 Reimbursed up to $65 Reimbursed up to $100
$140 allowance 20% off balance over $140
Contact Lenses
$135 allowance
Frequency Exam
Once every 12 months Once every 12 months Once every 24 months
Lenses or contact lenses
Frame
Employee Cost Per Pay Period
Employee Only
$3.19 $6.07 $6.39 $9.40
Employee + Spouse Employee + Child(ren)
Family
7
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