2019 Benefits Guide

VISION INSURANCE

National Aviation Academy offers vision coverage through Guardian. The Guardian vision plan provides you access to the Davis Vision network but allows you the flexibility to see any provider. To search in-network providers visit www.guardiananytime.com and search based on your location. When you utilize an out-of-network provider you pay expenses at the time of service and file a claim for reimbursement. Below is a list of the reimbursement schedule.

Davis Vision

In-Network

Routine Eye Exams

Every 12 months

$10 Copay

Lenses 2

Every 12 months

Single Vision Bifocal Trifocal Lenticular

$25 Copay Lens upgrades are additional cost, you may receive a discount at participating providers.

Frames

Every 24 months

$25 Copay provides a $120 allowance PLUS 20% off cost over the allowance

Contact Lenses (in lieu of glasses)

Every 12 months

Elective Contact Lenses

$120 allowance PLUS 15% off the overage

Medically Necessary

Covered 100%

Out-of-Network 1

Routine Eye Exams

Every 12 months Reimbursed up to $50 Every 12 months Reimbursed up to $48 Reimbursed up to $67 Reimbursed up to $86 Reimbursed up to $126 Every 24 months Reimbursed up to $55 Every 12 months Reimbursed up to $105 Reimbursed up to $210

Lenses 2 Single

Bifocal Trifocal Lenticular

Frames

Contact Lenses (in lieu of glasses) Elective Medically Necessary

Semi Monthly Cost for Coverage

Employee Only

$2.48

Employee + Spouse

$4.60

Employee + Child(ren)

$4.64

Employee + Family

$7.49

1 Reimbursable amount, less applicable copay. 2 Lenses benefit listed are for a pair of lenses.

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