Rottler Insurance Information Packet 2022

Plan Features In-Network vs. Out-of-Network Coverage • Lincoln VisionConnect ® members are supported through the Spectera Vision network. When you visit your eye care provider, let the office know you are a Spectera customer to make the most of your in- network provider benefits. • To find a Spectera vision network provider close to work or home, call 1-800-440-8453 or locate a provider in a few easy steps: — Visit lvc.lfg.com . On the left side of the page, use the Provider Quick Search . — In the Provider Quick Search box, enter a ZIP Code or street address. — Click the Search button to display a list of providers near you. • If you choose an out-of-network provider, you pay the provider in full and submit a claim for reimbursement of covered services and products. • Lincoln’s exclusive in-network partnership with Warby Parker lets employees use their annual allowances to purchase eyeglasses and/or contact lenses from this convenient online and retail vendor. Covered Contact Lens Selection • Lincoln VisionConnect ® gives you the option to choose contact lenses instead of eyeglass lenses. • Lincoln VisionConnect ® features a Covered Contact Lens Selection benefit. • This benefit covers fitting and evaluation fees, up to four boxes of contact lenses (depending on the prescription), and two follow-up visits. • To view your current covered contact lens choices*, visit lvc.lfg.com or call 1-800-440-8453. • The Covered Contact Lens Selection is not available at 1-800 Contacts, Costco®, LensCrafters, Sam’s Club®, Target, Walmart® or Warby Parker locations.

Other Contact Lens Options • A $125 allowance is provided for all other contact lenses, as well as for contact lenses purchased at 1-800 Contacts, Costco®, LensCrafters, Sam’s Club®, Target, Walmart® or Warby Parker with no copay. — This allowance does not include the cost of a fitting/evaluation or follow-up. Medically Necessary Contact Lenses • Contact lenses are considered “medically necessary” at the discretion of the eye care provider and are covered 100% (after a low or no copay) when you choose a network provider. Eyeglass Frames • Lincoln VisionConnect ® provides a $130 retail frame allowance. This covers many of today’s popular eyeglass frames. • If the cost of the frames you choose exceeds $130, you simply pay the remaining balance (which includes a discount of up to 30% at participating providers).

*The Covered Contact Lens Selection is subject to change. **Discounts subject to change. Your eye doctor’s prescribed wearing schedule may affect replacement frequency. All trademarks are the property of their respective owners.

Vision Insurance At-A-Glance

EED-VSN-FLI001

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