Other Discounts
Wellness Benefits — Maternity Benefit and Children’s Eye Care Program: Pregnant or breastfeeding women, and children up to age 13 receive additional coverage for each service frequency period: – A second eye exam, after any applicable co-pay – A new pair of glasses including frames and lenses (if the prescription changes .5 diopter or greater) Benefit Exclusions Like any insurance, this vision insurance plan does have some exclusions. The plan does not cover: Post-cataract lenses Non-prescription items Medical or surgical treatment for eye disease that requires the services of a physician Workers’ Compensation services or materials Services or materials that the patient, without cost, obtained from any governmental organization or program Services or materials that are not specifically covered by the plan Replacement or repair of lenses and/or frames that have been lost or broken Cosmetic extras, except as stated in the policy
Additional eyeglasses and contact lenses
Up to 20%
Mail order contact lenses
10%
Preferred Pricing on Laser Vision Correction • Free LASIK consultation with in-network providers • Convenient access to experienced LASIK surgeons at more than 900 locations nationwide • Flexible 0% financing options available to qualified applicants • For more information, visit vision.qualsight.com or call 855-250-2020 Covered Family Members When you choose coverage for yourself, you can also provide coverage for:
• Your spouse or domestic partner. • Dependent children, up to age 26.
A complete list of benefit exclusions is included in the policy. State variations apply.
Questions? Call 800-423-2765 and mention Group ID: 970629.
This is not intended as a complete description of the insurance coverage offered. While benefit amounts stated in this summary are specific to your coverage, other items may summarize our standard product features and not the specific features of your coverage. Controlling provisions are provided in the policy, and this summary does not modify those provisions or the insurance in any way. This is not a binding contract. A policy will be made available to you that describes the benefits in greater detail. Refer to your certificate for your maximum benefit amounts. Should there be a difference between this summary and the policy, the policy will govern.
Lincoln VisionConnect ® is underwritten by UnitedHealthcare Insurance Company. UnitedHealthcare Insurance Company is not a Lincoln Financial Group ® company.
Lincoln VisionConnect ® is marketed by The Lincoln National Life Insurance Company (Fort Wayne, IN), which does not solicit business in New York, nor is it licensed to do so. In New York, Lincoln VisionConnect ® is marketed by Lincoln Life & Annuity Company of New York (Syracuse, NY). Both are Lincoln Financial Group® companies. Lincoln VisionConnect ® is a registered trademark of Lincoln National Corporation. Lincoln VisionConnect ® coverage is provided by or through UnitedHealthcare Insurance Company, located in Hartford, Connecticut; UnitedHealthcare Insurance Company of New York, located in Islandia, New York; or their affiliates. Administrative services are provided by Spectera, Inc., UnitedHealthCare Services, Inc. or their affiliates. Plans sold in Texas use policy form number VPOL.06.TX or VPOL.13.TX and associated COC form number VCOC.INT.06.TX or VCOC CER.13.TX. Plans sold in Virginia use policy form number VPOL.06.VA or VPOL.13.VA and associated COC form number VCOC.INT.06.VA or VCOC.CER.13.VA. This policy has exclusions, limitations and terms under which the policy may be continued in-force or discontinued. For costs and complete details of the coverage, contact Lincoln VisionConnect ® at 800-440-8453.
The contracting entity for Spectera Eyecare Networks is Spectera, Inc.
Lincoln Financial Group is the marketing name for Lincoln National Corporation and its affiliates. Affiliates are separately responsible for their own financial and contractual obligations.
©2021 Lincoln National Corporation LCN-3784433-092321
Vision Insurance-At-A-Glance 4
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