CLEAR VISION FLORIDA. The Clear Choice for Group Vision Plans. For Groups of Eligible Lives. DIR BEN NATL BRCH vision 6/16
|
|
|
- Clarence Ferguson
- 5 years ago
- Views:
Transcription
1 CLEAR VISION FLORIDA The Clear Choice for Group Vision Plans For Groups of Eligible Lives ARGUS DENTAL & ARGUS VISION, DENTAL INC. & VISION, INC W. State Street 4010 Tampa, W. StateFlorida Street33609 Tampa, Florida DIR BEN NATL BRCH vision 6/16 NGL GRP V BRCH FLNGL 12/16. GRPFor V BRCH Broker FL Use 12/16. Only. ForNot Broker Available Use Only. in All Not States. Available in All States.
2 Argus Clear Vision Plan Benefits Administered by Davis Vision Lives In-Network Benefits Fashion Value Designer Option I Designer Option II Designer Option III Premier Option I Premier Option II Frequency - Once Every: Eye Examinations Inclusive of Dilation (when professionally indicated) 12 Months 12 Months 12 Months 12 Months 12 Months 12 Months Spectacle Lenses 12 Months 12 Months 12 Months 12 Months 12 Months 12 Months Frame 24 Months 24 Months 24 Months 12 Months 12 Months 12 Months Contact Lens Evaluation, Fitting & Follow- Up Care (in lieu of eyeglasses) 12 Months 12 Months 12 Months 12 Months 12 Months 12 Months Co-Payments Eye Examination $10 $10 $10 $10 $10 $0 Spectacle Lenses $25 $25 $10 $10 $10 $0 Contact Lens Evaluation, Fitting & Follow- Up Care $0 $0 $0 $0 $0 $0 Eyeglass Benefit - Frame Frame Allowance (Retail): Plus a 20% discount on any overage Up to $100 OR Up to $150* Up to $130 OR Up to $180* Up to $130 OR Up to $180* Up to $130 OR Up to $180* Up to $150 OR Up to $200* Davis Vision Frame Collection (in Lieu of Allowance): Member Co-Pays Fashion level $0 $0 $0 $0 $0 $0 Up to $150 OR Up to $200* Designer level $15 $0 $0 $0 $0 $0 Premier level $40 $25 $25 $25 $0 $0 Eyeglass Benefit - Spectacle Lenses Member Co-Pays Clear plastic single-vision, lined bifocal, trifocal or lenticular lenses (any size or Rx) $0 $0 $0 $0 $0 $0 Tinting of Plastic Lenses $15 $0 $0 $0 $0 $0 Scratch-Resistant Coating $0 $0 $0 $0 $0 $0 Polycarbonate Lenses (Children/Adults) $0/$35 $0/$30 $0/$30 $0/$30 $0/$30 $0/$30 Ultraviolet Coating $15 $12 $12 $12 $12 $12 Anti-Reflective (AR) Coating (Standard/ Premium/Ultra) $40/$55/$69 $35/$48/$60 $35/$48/$60 $35/$48/$60 $35/$48/$60 $35/$48/$60 Progressive Lenses (Standard/Premium/ Ultra) $65/$105/$140 $50/$90/$140 $50/$90/$140 $50/$90/$140 $50/$90/$140 $50/$90/$140 High-Index Lenses $60 $55 $55 $55 $55 $55 Polarized Lenses $75 $75 $75 $75 $75 $75 Plastic Photochromic Lenses $70 $65 $65 $65 $65 $65 Scratch Protection Plan: Single Vision/ Multifocal Lenses $20/$40 $20/$40 $20/$40 $20/$40 $20/$40 $20/$40 Contact Lens Benefit (in Lieu of Eyeglasses) - Standard & Specialty Lens Types Contact Lens Material Allowance Plus discount on any overage Up to $100 Up to $130 Up to $130 Up to $130 Up to $150 Up to $150 Evaluation, Fitting & Follow-Up Care - Standard Lens Types (in Lieu of Eyeglasses) $0 co-pay $0 co-pay Evaluation, Fitting & Follow-Up Care - Specialty Lens Types (in Lieu of Eyeglasses) Collection Contact Lenses Benefit (in Lieu of Contact Lens Material Allowance) Materials Disposable: up to Planned Replacement: up to Not Covered Not Covered 4 bxes/multi-pks 2 bxes/multi-pks 4 bxes/multi-pks 2 bxes/multi-pks 4 boxes/multi-packs 2 boxes/multi-packs Up to $60 allowance Plus a discount on any overage** 8 boxes/multi-packs 4 boxes/multi-packs Up to $60 allowance Plus a discount on any overage** 8 boxes/multi-packs 4 boxes/multi-packs Evaluation, Fitting & Follow-Up Care Not Covered $0 co-pay $0 co-pay $0 co-pay $0 co-pay $0 co-pay Non-Elective Contact Lenses (with Prior Approval) Materials, Evaluation, Fitting & Follow-up Care Out-of-Network Reimbursement Allowance Schedule: Up To $0 Copay $0 Copay $0 Copay $0 Copay $0 Copay $0 Copay Fashion Value: Eye Examination: $40, Frame: $50, Single Vision Lenses: $40, Bifocal/Progressives Lenses: $60, Trifocal Lenses: $80, Lenticular Lenses: $100, Elective Contact Lenses: $80, Visually Required Contact Lenses: $225 Designer & Premier: Eye Examination: $40, Frame: $50, Single Vision Lenses: $40, Bifocal/Progressives Lenses: $60, Trifocal Lenses: $80, Lenticular Lenses: $100, Elective Contact Lenses: $105, Visually Required Contact Lenses: $225 * At Visionworks ** Discounts are not part of insured benefits 2
3 Argus Clear Vision Florida Rates For Plans with Effective Dates Through 12/31/17 FLORIDA MONTHLY RATES VOLUNTARY/EMPLOYEE PAID Eligible Employees Fashion Value Designer I Designer II Designer III Premier I Premier II Employee Only $4.58 $5.45 $6.00 $6.59 $7.45 $9.57 Employee + Spouse $9.16 $10.88 $11.99 $13.20 $14.88 $19.14 Employee + Child(ren) $9.61 $11.43 $12.59 $13.86 $15.62 $20.10 Employee + Family $13.38 $15.93 $17.54 $19.30 $21.77 $27.99 EMPLOYER PAID Eligible Employees Fashion Value Designer I Designer II Designer III Premier I Premier II Employee Only $3.39 $3.74 $4.17 $5.10 $6.74 Employee + Spouse $6.78 $7.49 $8.35 $10.19 $13.49 Employee + Child(ren) $7.12 $7.87 $8.77 $10.70 $14.16 Employee + Family $9.91 $10.96 $12.20 $13.22 $14.91 $19.72 NOTES General: Groups with 250+ eligible employees will be custom rated Groups with 500+ eligible employees will be custom designed and rated Policy Form Series NVIGRPCT LG 07/12 FL Policies underwritten by National Guardian Life Insurance Company National Guardian Life Insurance Company is not affiliated with the Guardian Life Insurance Company of America, a/k/a The Guardian or Guardian Life Voluntary Plan: No employer contributions required The greater of 10 employees or 20% of employees must be enrolled for groups of 51 or more eligible Employer Paid Plan: Employer must pay a minimum of 75% of employee only or 50% of family Minimum of 75% of employees must participate Use employer paid rates for plans when combined with dental UNDERWRITTEN BY: National Guardian Life 2 East Gilman Madison, WI PROVIDED BY: Argus Dental & Vision, Inc West State Street Tampa, FL VISION NETWORK: Davis Vision Capital Region Health Park, Suite Troy-Schenectady Road Latham, New York
4 Exclusions No benefits are payable for any of the following conditions, procedures and/or materials, unless otherwise specifically listed as a covered benefit in the Schedule of Benefit: 1. Replacement frames and/or lenses, except at normal intervals when covered services are otherwise available 2. Plano or non-prescription lenses or sunglasses 3. Orthoptics, vision training and any associated supplemental testing 4. Frame cases 5. Low (subnormal) vision aids or aniseikonic lenses 6. Medical and surgical treatment of the eyes 7. Charges incurred after (a) the Policy ends; or (b) the Insured s coverage under the Policy ends, except as stated in the Policy 8. Experimental or non-conventional treatment or device 9. Any eye examination or corrective eyewear required by an Employer as a condition of employment 10. Services and materials provided by another vision plan except in the case of Coordination of Benefits 11. Services for which benefits are paid by Worker s Compensation 12. Benefits provided under the employee s medical insurance except in the case of Coordination of Benefits 13. Groove, Drill or Notch, and Roll and Polish 14. Two pairs of glasses, in lieu of bifocals, trifocals or progressives 15. Cosmetic items 16. Faceted lenses 17. Laminated lenses 18. Polished bevel lenses 19. Prism lenses 20. Slab-off lenses 21. Additional cost for contact lenses over the allowance 22. Additional cost for a frame over the allowance 4
5 Clear Vision Plans Offer Healthy eyes and clear vision are an important part of your overall health, wellness and quality of life. Argus Clear Vision plans, underwritten by National Guardian Life and co-administered by Davis Vision, help members care for their eyes while saving them money on a variety of covered benefits, including: Eye Examinations Contact Lens Evaluation, Fitting & Follow-Up Care Eyeglass Lenses in a Variety of Materials Eyeglass Frame Allowances & Discounts Contact Lenses Lens Tinting Scratch-Resistant Coating Ultraviolet Coating Anti-Reflective Coating Polarized Lens Technology Photochromic Lens Technology Clear Vision Extras When members join Argus Clear Vision Plans, they also enjoy added-value benefits, such as: One Year Eyeglass Breakage Warranty Up to 20% off additional savings on eyeglasses, sunglasses at participating locations Up to 10% off disposable contact lenses at participating locations Replacement contacts through LENS123 mail-order service, saving both time and money Laser Vision Correction discounts of up to 25% off the provider s Usual & Customary fees, or 5% off the advertised special, whichever is lower A comprehensive Low Vision evaluation and low vision aids Getting Started is Easy! We make it easy to find a provider! Members can visit and click Find a Provider or call Davis Vision directly at We also make it easy to schedule an appointment! When making an appointment, members should have their member ID number, name and date of birth handy. The provider will take care of the rest! Value for our Members: A comprehensive benefit ensuring low out-of-pocket cost to members and their families. Our goal is 100% member satisfaction. Convenient Network Locations: A national network of credentialed preferred providers throughout the 50 states Freedom of Choice: Access to care through either our network of independent, private practice doctors (optometrists and ophthalmologists) or select retail partners 5
6 Argus Clear Vision THE CLEAR CHOICE FOR GROUP VISION PLANS All plans underwritten by National Guardian Life Insurance Company, an A- (Excellent) rated company Strategic partnership with Davis Vision, a top national vision carrier with over 21 million members Sales administration, eligibility, billing, and commissions managed by Argus Dental & Vision Claims, customer service and nationwide vision provider network covered by Davis Vision Includes top retailers and in-network, private practice doctors Extra $50 benefit towards frame allowance at Visionworks *AMBest.com Ratings current as of 08/05/15 ARGUS DENTAL & VISION, INC W. State Street Tampa, Florida For Broker Use Only. Not Available in All States.
Member Doctors are those doctors who have agreed to participate in VSP s Choice Network.
EXHIBIT A VISION SERVICE PLAN INSURANCE COMPANY SCHEDULE OF S Signature Choice Plan B $15/25 GENERAL This Schedule lists the vision care services and vision care materials to which Covered Persons of VSP
Group Enrollment Processing. In order to ensure proper processing of your applications, please read the following instructions carefully.
Dergalis ASSOCIATES Group Enrollment Processing In order to ensure proper processing of your applications, please read the following instructions carefully. 1) Once you have selected the plan(s) in which
VSP Network Providers are those doctors that have agreed to participate in VSP s Choice Network.
EXHIBIT A SCHEDULE OF BENEFITS VSP Choice Plan Plan A GENERAL This Schedule of Benefits lists the vision care services and materials to which Covered Persons of VSP Vision Care, Inc.("VSP") are entitled,
EASTERN VISION SERVICE PLAN, INC. AMENDMENT TO GROUP VISION CARE POLICY PLEASE ATTACH TO YOUR GROUP VISION CARE POLICY
EASTERN VISION SERVICE PLAN, INC. AMENDMENT TO GROUP VISION CARE POLICY PLEASE ATTACH TO YOUR GROUP VISION CARE POLICY To be attached and made a part of Group Vision Care Policy Number 30021769, issued
VISION PLAN PROVISIONS
VISION PLAN PROVISIONS Schedule of Vision Plan Benefits NBN Network Provider Examination Paid in full $ 35 Lenses (per pair) Single Vision Paid in full* $ 30 Bifocal Paid in full* $ 40 Trifocal Paid in
EyeMed Network. HumanaVision
EyeMed Network HumanaVision Feel good about choosing a HumanaVision plan We re happy you are considering a HumanaVision plan. It s important your employees keep their eyes healthy and get routine care.
NATIONAL GUARDIAN LIFE INSURANCE COMPANY (called We, Our, and Us ) 2 East Gilman Street Madison, Wisconsin 53701
NATIONAL GUARDIAN LIFE INSURANCE COMPANY (called We, Our, and Us ) 2 East Gilman Street Madison, Wisconsin 53701 GROUP VISION CARE INSURANCE CERTIFICATE Underwritten by: National Guardian Life Insurance
NATIONAL GUARDIAN LIFE INSURANCE COMPANY (called We, Our, and Us ) 2 East Gilman Street Madison, Wisconsin 53701
NATIONAL GUARDIAN LIFE INSURANCE COMPANY (called We, Our, and Us ) 2 East Gilman Street Madison, Wisconsin 53701 GROUP VISION CARE INSURANCE CERTIFICATE Underwritten by: National Guardian Life Insurance
Vision Benefit Summary
Cowan Systems, LLC Effective: January 01, 2015 Group Number: 00507869 Vision Benefit Summary About Your Benefits: Eye care is a vital component of a healthy lifestyle. With vision insurance, having regular
NATIONAL GUARDIAN LIFE INSURANCE COMPANY (called We, Our, and Us ) 2 East Gilman Street Madison, Wisconsin 53701
NATIONAL GUARDIAN LIFE INSURANCE COMPANY (called We, Our, and Us ) 2 East Gilman Street Madison, Wisconsin 53701 GROUP VISION CARE INSURANCE CERTIFICATE Underwritten by: National Guardian Life Insurance
Cigna Health and Life Insurance Company. Welcome to Cigna Vision Schedule of Vision Coverage
Summary of Benefits Cigna Health and Life Insurance Company Cigna Vision Hanover County Coverage Welcome to Cigna Vision Schedule of Vision Coverage In-Network Benefit Out-of-Network Benefit Frequency
EYEMED VOLUNTARY VISION PLAN SUMMARY PLAN DESCRIPTION
Your Group Plan EYEMED VOLUNTARY VISION PLAN SUMMARY PLAN DESCRIPTION TLC COMPANIES VOLUNTARY VISION EyeMed Vision Care will be your provider for quality eye care services. EyeMed Vision Care s
Vision Care Program (VCP)
All Employees Effective: January 1, 2018 Program Summary IMPORTANT This Program Summary applies to all employees, effective January 1, 2018. For more information on other benefit programs under the National
Vision Insurance Plan 3
Vision Insurance Plan 3 Good news about vision benefits for employees of Southern Healthcare Agency, Inc. Did you know? 3 in 4 adults need vision correction. 1 9 in 10 employees say visual disturbances
If you use an IN-NETWORK provider (Member cost) $10 Up to $39. Up to $55 10% off retail. $150 allowance 20% off balance over $150
SGB0168A Humana Vision 130 FLORIDA Vision care services Exam with dilation as necessary Retinal imaging 1 Contact lens exam options2 Standard contact lens fit and follow-up Premium contact lens fit and
KEY GROUP VISION INSURANCE
KEY GROUP VISION INSURANCE KEY GROUP VISION INSURANCE BENEFITS FOR EMPLOYEES THAT BENEFIT EMPLOYERS Underwritten by Companion Life Insurance Company Administered by Key Benefit Administrators WHY A VISION
SCHEDULE OF BENEFITS Signature Plan B
Exhibit A SCHEDULE OF S Signature Plan B GENERAL This Schedule lists the vision care benefits to which Covered Persons of VISION SERVICE PLAN ("VSP") are entitled, subject to any applicable Copayments
Vision insurance. Benefit Highlights. Additional plan features. How Sun Life s Vision insurance can help
Vision insurance Benefit Highlights For all eligible employees of Alabama-West Florida Conference Of The United Methodist Church, Inc., Policy # 922164 All Eligible Employees (Clergy & Lay) Vision insurance
If you use an IN-NETWORK provider (Member cost) $10 Up to $39. Up to $55 10% off retail. $130 allowance 20% off balance over $130
SGB0169A Humana Vision 130 FLORIDA Vision care services Exam with dilation as necessary Retinal imaging 1 Contact lens exam options2 Standard contact lens fit and follow-up Premium contact lens fit and
Vision plans Broker information for groups with 1 to 100 employees
vision Vision plans Broker information for groups with 1 to 100 employees Effective January 1, 2019 Vision coverage is an essential part of a comprehensive benefit package that can help your clients maintain
Coverage to help keep
Premiere Vision Coverage to help keep your vision healthy and your world in focus DID YOU KNOW? 3 in 4 Americans need some type of corrective lens. 1 An annual eye exam is about much more than healthy
Co-payment $6.50 Exam / $18 Lenses *Standard Lens Allowance is included. **Pre-approval from NVA required Iwf607 Schedule of Vision Benefits NVA2 Participating Provider Examination Once Every Plan Year
Member Driven Value. WELL VISION EXAM PRESCRIPTION GLASSE S LENS ENHANCEMENTS CONTACTS. See More Clearly...
Member Driven Value. WELL VISION EXAM See More Clearly... PRESCRIPTION GLASSE S LENS ENHANCEMENTS CONTACTS Gap Vision Plan Cost Ind $14 Ind+1 $27 Family $43 GET FOR VISION GROUP VISION INSURANCE + IN-NETWORK
Vision Coverage. Premiere Vision. Coverage to help keep your vision healthy and your world in focus. SureBridgeInsurance.com CH PR VIS FL 319
Vision Coverage Premiere Vision Coverage to help keep your vision healthy and your world in focus SureBridgeInsurance.com Coverage For Your Vision Care Needs. An annual eye exam is about much more than
NATIONAL GUARDIAN LIFE INSURANCE COMPANY (called We, Our, and Us ) 2 East Gilman Street Madison, Wisconsin 53701
NATIONAL GUARDIAN LIFE INSURANCE COMPANY (called We, Our, and Us ) 2 East Gilman Street Madison, Wisconsin 53701 GROUP VISION CARE INSURANCE CERTIFICATE Administrator: Superior Vision Services, Inc. 11101
A COMPLETE VISION INSURANCE PORTFOLIO FROM COMPANION LIFE
A COMPLETE VISION INSURANCE PORTFOLIO FROM COMPANION LIFE WHY A VISION CARE PLAN? We believe eye exams are important not only for vision correction, but for disease prevention. And the steady growth of
Vision Program. Effective January 1, Introduction How the Program Works... 2
Vision Program Effective January 1, 2011 Introduction... 2 How the Program Works... 2 A Snapshot of Your Vision Coverage Through Vision Service Plan (VSP)... 3 What the Program Covers... 3 Using VSP Network
NATIONAL GUARDIAN LIFE INSURANCE COMPANY (called We, Our, and Us ) 2 East Gilman Street Madison, Wisconsin 53701
NATIONAL GUARDIAN LIFE INSURANCE COMPANY (called We, Our, and Us ) 2 East Gilman Street Madison, Wisconsin 53701 GROUP VISION CARE INSURANCE CERTIFICATE Underwritten by: Administrator: National Guardian
40 % 20 % ICUBA Base Plan. Additional discounts. Take a sneak peek before enrolling SUMMARY OF BENEFITS
Additional discounts 40 % Complete pair of prescription eyeglasses Non-prescription sunglasses Remaining balance beyond plan coverage These discounts are for in-network providers only Take a sneak peek
Vision. Benefits at a Glance. Contents
The Vision Plan, administered by Davis Vision, offers a variety of routine vision care services and supplies. You do not have to be enrolled in the Plan to cover a dependent. When you enroll in the Plan,
If you use an IN-NETWORK provider (Member cost) $10 Up to $39. Up to $55 10% off retail. $130 allowance 20% off balance over $130
SGB0165A Humana Vision 130 TEXAS Ft. Worth ISD IN-NETWORK provider (Member cost) OUT-OF-NETWORK provider (Reimbursement) $10 Up to $39 Up to $30 Standard contact lens fit and follow-up Premium contact
Coverage to help keep
Premiere Vision Coverage to help keep your vision healthy and your world in focus DID YOU KNOW? 3 in 4 Americans need some type of corrective lens. 1 An annual eye exam is about much more than healthy
Vision Insurance - Gold. Enrollment brochure Freedom to choose any vision care provider
800.365.4999 Enrollment brochure Vision Insurance - Gold Freedom to choose any vision care provider Network option for even greater savings Annual eye exam and single or bifocal lenses at no cost from
Premiere Vision Coverage to help keep your vision healthy... and your world in focus
Premiere Vision Coverage to help keep your vision healthy... and your world in focus Notice to Our Customers About Supplemental Insurance The supplemental plan discussed in this document is separate from
USI Affinity Vision Summary
Rate Summary USI Affinity Vision Summary USI Affinity Vision area rates Low Plan M100-10/10 Member Member+ Spouse Member+ Child(ren) Family Area 1 $9.34 $18.71 $15.84 $26.13 Area 2 $9.46 $18.95 $16.04
guide enrollment vision benefits Eau Claire County
vision benefits enrollment guide Delta Dental, in partnership with EyeMed, brings you DeltaVision flexible, affordable vision insurance. Eau Claire County Why You Need Vision Insurance Save money. Protect
Benefit Frequency Copay Coverage from a VSP Network Doctor Out-of-Network Reimbursement. $10 Covered in full Up to $50
Vision Plan Vision Benefits At-A-Glance Type of Plan Who Pays the Cost Employee Eligibility Enrollment Period Plan Information Vision Plan for all eligible employees You share the cost of vision care coverage
2018 Vision Care Plan Highlights
General Information This Highlights document provides a brief overview of the key features of the Plan. Detailed program provisions, including coverage and coverage amounts, limitations and exclusions,
YOUR BENEFIT OPTIONS SHORT-TERM DISABILITY LONG-TERM DISABILITY DENTAL TERM LIFE VISION VOLUNTARY
YOUR OPTIONS SHORT-TERM DISABILITY LONG-TERM DISABILITY DENTAL TERM LIFE VISION VOLUNTARY Rapid Pay Income Replacement SM (Short-term Disability) S AT A GLANCE GROUP SIZE PARTICIPATION WAITING PERIODS
Vision benefits from EyeMed. See life to the fullest
Vision benefits from EyeMed See life to the fullest STATE BAR OF WISCONSIN EYEMED VISION PLAN Why vision? Because its good for your budget, health and family Regular eye exams are in everyone s best interest
VILLAGE OF DOWNERS GROVE Report for the Village Council Meeting
RES 2015-6453 Page 1 of 6 VILLAGE OF DOWNERS GROVE Report for the Village Council Meeting SUBJECT: Employee Benefits Renewal Contracts and Medical Plan Amendments for FY2016 SUBMITTED BY: Dennis Burke
Premiere Vision. Vision Coverage for Seniors
Vision Coverage for Seniors Premiere Vision Get vision coverage that can offer you savings on vital eye care, including exams and prescription glasses, benefits that are not included in your Original Medicare
Premiere Vision Coverage to help keep your vision healthy... and your world in focus
Premiere Vision Coverage to help keep your vision healthy... and your world in focus Notice to Our Customers About Supplemental Insurance The supplemental plan discussed in this document is separate from
Prepared by: Shelf Vision Rates. For Employers with 2-99 Eligible Employees
Prepared by: Healthy Choices Benefit Plans Shelf Vision Rates For Employers with 2-99 Eligible Employees Not Available in the following States: Arkansas, Idaho, New York & Washington Rates valid through
For sales assistance contact Reid Nelson at (602) or
Special Rates for Arizona - 100+ Eligible Employees Rates Valid as of: 07/1/18 Voluntary Rates, MONTHLY Minimum Participation Required: 2 employees Our vision plans focus on providing the highest quality
Premiere Vision Coverage to help keep your vision healthy... and your world in focus
Premiere Vision Coverage to help keep your vision healthy... and your world in focus Notice to Our Customers About Supplemental Insurance The supplemental plan discussed in this document is separate from
Your Vision PLUS Plan 140. Vision PLUS Plan Summary Chart 141. How the Plan Works 142. What s Covered 143. What s Not Covered 143
Vision PLUS Plan CONTENTS Your Vision PLUS Plan 140 Tips for Finding Information Fast! Click on the above link to see how you can use the document s search function to quickly find the information you
GUIDE ENROLLMENT VISION BENEFITS EAU CLAIRE AREA SCHOOL DISTRICT
VISION BENEFITS ENROLLMENT GUIDE Delta Dental, in partnership with EyeMed, brings you DeltaVision flexible, affordable vision insurance. EAU CLAIRE AREA SCHOOL DISTRICT Why You Need Vision Insurance Save
The Company offers the VSP Vision Plan. VSP provides the following benefits.
VSP VISION PLAN HIGHLIGHTS The Company offers the VSP Vision Plan. VSP provides the following benefits. Exams Lenses Frames Necessary contact lenses Elective contact lenses Participants may choose between
Balanced Care VisionSM. Choice. Options to Help Your Employees Stay Focused at Work
Balanced Care VisionSM Choice Options to Help Your Employees Stay Focused at Work Standard Insurance Company The Standard Life Insurance Company of New York Standard Insurance Company is licensed to issue
Vision Care Plan Highlights
Vision Care Plan Highlights General Information This Highlights document provides a brief overview of the key features of the Plan. Detailed program provisions, including coverage and coverage amounts,
Comparison of Voluntary Vision Rates
Coverage Employee Only Employee and Spouse Employee and Child(ren) Family Comparison of Voluntary Vision Rates MetLife $9.60 $15.39 $17.39 $25.95 Dearborn $6.20 $11.80 $12.43 $18.28 Diff/mo $3.40 $3.59
Balanced Care Vision Choice Meeting Vision Insurance Needs with a Range of Choices
Balanced Care Vision Choice Meeting Vision Insurance Needs with a Range of Choices STANDARD INSURANCE COMPANY Quality Vision Coverage With the workforce aging and computer use an everyday reality, Vision
OUT OF NETWORK IN NETWORK
Humana Vision Plans Routine eye exam 100 130/Materials Only 130 160/Materials Only 160 200 Exam with dilation, as necessary* $10 Up to $30 $10 Up to $30 $10 Up to $30 $0 Up to $30 Retinal imaging 1 Up
Premiere Vision. Vision Coverage for Seniors
Vision Coverage for Seniors Premiere Vision Get vision coverage that can offer you savings on vital eye care, including exams and prescription glasses, benefits that are not included in your Original Medicare
Your Vision Benefits Indian River State College
Your Vision Benefits Indian River State College SGB0153A Humana Vision 100 FLORIDA Vision care services Exam with dilation as necessary Retinal imaging 1 Contact lens exam options2 Standard contact lens
Premiere Vision Coverage to help keep your vision healthy... and your world in focus
Premiere Vision Coverage to help keep your vision healthy... and your world in focus Notice to Our Customers About Supplemental Insurance The supplemental plan discussed in this document is separate from
Premiere Vision Coverage to help keep your vision healthy... and your world in focus
Premiere Vision Coverage to help keep your vision healthy... and your world in focus Notice to Our Customers About Supplemental Insurance The supplemental plan discussed in this document is separate from
Vision Plan 6030 Benefit Summary. Maximum Allowances 1 Preferred Provider: Frame $120
Underwritten by Avalon Insurance Company Administered and Marketed by Dominion Vision Services Harrisburg, PA Vision Plan 6030 Coverage Schedule Vision Plan 6030 Benefit Summary Copayments Frequency Exam
Vision. The Aetna Vision Plan, offers a variety of routine vision care services and supplies.
Vision The Aetna Vision Plan, offers a variety of routine vision care services and supplies. You may enroll in the Plan as a new hire or during annual enrollment. You can change your election if you have
Vision. Save Money with Spending Accounts
Vision The Citigroup Vision Benefit Plan (the Vision Plan ) offers a variety of routine vision care services and supplies. When you can enroll in and/or make changes to Vision Coverage You may enroll in
Premiere Vision. Vision Coverage for Seniors
Vision Coverage for Seniors Premiere Vision Get vision coverage that can offer you savings on vital eye care, including exams and prescription glasses, benefits that are not included in your Original Medicare
VISION BENEFITS ENROLLMENT GUIDE. Delta Dental, in partnership with EyeMed, brings you DeltaVision flexible, affordable vision insurance.
VISION BENEFITS ENROLLMENT GUIDE Delta Dental, in partnership with EyeMed, brings you DeltaVision flexible, affordable vision insurance. Why You Need Vision Insurance Save money. Protect your eyesight.
BNSF Vision Care Program for
BNSF Vision Care Program for Pre-Medicare Retirees WE ARE BNSF. Vision Care Program for Pre-Medicare Retirees 2 CONTENTS VISION BENEFITS FOCUS ON PREVENTIVE CARE AND MAINTAINING GOOD EYESIGHT... 3 VISION
CCPOA RETIRED VISION PLAN
CCPOA RETIRED VISION PLAN Effective January, 2016 As a CCPOA Retired Chapter member, you can enroll in a simple to use, cost effective vision wellness program administered by the CCPOA Benefit Trust Fund
Premiere Vision. Vision Coverage for Seniors
Vision Coverage for Seniors Premiere Vision Get vision coverage that can offer you savings on vital eye care, including exams and prescription glasses, benefits that are not included in your Original Medicare
Please see the ISMA Anthem Blue View Vision Low Plan and High Plan flyers for benefit details.
NEW! Voluntary Anthem Blue View Vision Plan ISMA is excited to introduce Anthem Blue View Vision, a comprehensive vision program designed to meet your routine vision care needs and provide continuous eyewear
Social Security Number: Last Name (Subscriber): First Name: DOB: Sex: Home Address: City: State: Zip Code: Date of Birth
DELTA DENTAL Delta Dental Plan of Massachusetts Group Name: MCO H&W Fund MCO Health and Welfare Fund DENTAL/VISION ENROLLMENT FORM & PAYROLL DEDUCTION AUTHORIZATION FAX: 603-647-4668 PH: 800-346-4935 E-MAIL:
Oregon Association of Realtors Eye Care Highlight Sheet
Plan 1: Focus Plan Summary Effective Date: 1/1/2019 VSP Choice Network + Affiliates Deductibles $10 Exam $10 Exam $25 Eye Glass Lenses or Frames* $25 Eye Glass Lenses or Frames Annual Eye Exam Covered
Important Questions Answers Why this Matters:
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.vsp.com or by calling 1-800-877-7195. Important Questions
Welcome to the Future of Dental & Vision Benefits Today!
The QCD of America Dental & Vision Benefit Program is a managed cost program offering a large selection of highly qualified private practice dental and optical professionals. The QCD Philosophy QCD believes
Premiere Vision. Vision Coverage for Seniors
Vision Coverage for Seniors Premiere Vision Get vision coverage that can offer you savings on vital eye care, including exams and prescription glasses, benefits that are not included in your Original Medicare
Frame Dental IHC PPO PPO dental insurance with vision benefits for individuals and families
IHC PPO 1000 Frame Dental PPO dental insurance with vision benefits for individuals and families Underwritten by Madison National Life Insurance Company, Inc., a Wisconsin insurance company. Brochure Frame
HumanaVision Voluntary Vision Care Plan
HumanaVision Voluntary Vision Care Plan TEXAS REPUBLIC HEALTH RESOURCES 1. Choose your exam/material 1 copay: $10/$15 $15/$15 $15/$20 $20/$20 Approximate retail value: 2. Choose your wholesale frame allowance:
USI Affinity Vision Plan Summary
USI Affinity Vision Plan Summary Summary of Benefits: VISION - M100D-0/0 Low Plan Class Description Plan Name Reimbursement Eye Examination Comprehensive exam of visual functions and prescription of corrective
Premiere Vision Coverage to help keep your vision healthy... and your world in focus
Premiere Vision Coverage to help keep your vision healthy... and your world in focus Notice to Our Customers About Supplemental Insurance The supplemental plan discussed in this document is separate from
Life Care Partners LLC dba Family Home Health Services
Prepared for: Life Care Partners LLC dba Family Home Health Services Proposed coverage: - Vision Broker: BENEFIT HELP Humana sales representative: Kelly Danforth Presented by: MARK HOLLAND Proposal date:
AMEND-ChildAge 7/2010-STAR MS
STARMOUNT LIFE INSURANCE COMPANY 8485 GOODWOOD BOULEVARD, BATON ROUGE, LA 70806-7878 AMENDMENT AGE LIMITS FOR COVERED DEPENDENT CHILDREN Attached to Policy/Certificate No.: TUMM117 The Policy/ Certificate
Service Participating Providers: Non-participating Providers:
Provider Network: PSN PSGBS.ID.SG.MED.PPO.0116 Medical Benefit Summary PSN Balance Silver 4000 VH Annual Deductible Per Person, Per Calendar Year Per Family, Per Calendar Year Participating Providers $4,000
Save on eyeglasses, contacts and more Aetna Vision SM Preferred
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Save on eyeglasses, contacts and more Aetna Vision SM Preferred Use Aetna Vision Preferred to complement any
Vision. The Citigroup Vision Benefit Plan (the Vision Plan ) offers a variety of routine vision care services and supplies.
Vision The Citigroup Vision Benefit Plan (the Vision Plan ) offers a variety of routine vision care services and supplies. When you can enroll in and/or make changes to Vision Coverage You may enroll in
Humana Vision 130 Custom Plan
Humana Vision 130 Custom Plan TENNESSEE Vision care services IN-NETWORK provider (Member cost) Verso Corporation OUT-OF-NETWORK provider (Reimbursement) Exam with dilation as necessary $15 Up to $30 Retinal
El Pollo Loco Restaurants Eye Care Highlight Sheet
Plan 1: Basic Vision Plan Summary Effective Date: 11/1/2017 $0* Maximum Calendar Year None Annual Eye Exam Up to $45 Single Vision Up to $35 Bifocal Up to $50 Trifocal Up to $65 Lenticular Up to $70 Progressive
BlueMedicare SM Group PPO (Employer PPO) BlueMedicare SM PPO
BlueMedicare SM Group PPO (Employer PPO) BlueMedicare SM PPO 2017 Benefit Schedule for Dental Care Services Hearing Services Vision Care Services A Medicare Advantage Dental, Hearing and Vision Benefit
IN-NETWORK BENEFITS. Eye Examination. Eyeglasses. Spectacle Lenses. Frames. Contact Lenses. Contact Lens Evaluation, Fitting & Follow Up Care
Premier Vision Plan Healthy eyes and clear vision are an important part of your overall health and quality of life. Your vision plan helps you care for your eyes while saving you money by offering: Paid-in-full
Mulzer Crushed Stone, Inc. Eye Care Highlight Sheet
Plan 1: Focus VSP with Safety Glasses Plan Summary Effective Date: 7/1/2013 Copays $10 Exam $25 Eye Glass Lenses or Frames $25 Eye Glass Lenses or Frames* Annual Eye Exam Up to $45 Regular / Safety Lenses
Service Participating Providers: Non-participating Providers: Medical Schedule of Benefits BrightIdea Balance Silver 2500 (73)
Provider Network: BrightPath Medical Schedule of Benefits BrightIdea Balance Silver 2500 (73) Annual Deductible Per Person, Per Calendar Year Per Family, Per Calendar Year Participating Providers $2,300
l k into VSP Direct. No vision insurance? Look into VSP Direct for affordable individual and family vision insurance.
No vision insurance? l k into VSP Direct. Look into VSP Direct for affordable individual and family vision insurance. When you enroll in individual vision insurance through ehealth, you ll enjoy the best
NATIONAL GUARDIAN LIFE INSURANCE COMPANY (called We, Our, and Us ) 2 East Gilman Street Madison, Wisconsin 53701
NATIONAL GUARDIAN LIFE INSURANCE COMPANY (called We, Our, and Us ) 2 East Gilman Street Madison, Wisconsin 53701 GROUP VISION CARE INSURANCE CERTIFICATE Underwritten by: National Guardian Life Insurance
If you use an IN-NETWORK provider (Member cost) $10 Up to $39. Up to $55 10% off retail. 20% off balance over $130
SGB0151A Humana Vision 130 TEXAS Vision care services Exam with dilation as necessary Retinal imaging 1 Contact lens exam options2 Standard contact lens fit and follow-up Premium contact lens fit and follow-up
GROUP VISION CARE PREFERRED PROVIDER ORGANIZATION (PPO) INSURANCE CERTIFICATE
Opticare [[of Utah][Plus Vision]] Dba Opticare Plus Vision A(n) Utah Limited Health Plan Home Office: 1901 West Parkway Blvd. Salt Lake, City, UT 84119 Phone: [800-363-0950] [www.opticareofutah.com] GROUP
Group Vision Care Plan
Group Vision Care Plan Vision Care for Life EVIDENCE OF COVERAGE & DISCLOSURE FORM Provided by: VISION SERVICE PLAN 3333 Quality Drive, Rancho Cordova, CA 95670 (916) 851-5000 (800) 877-7195 THIS EVIDENCE
Group Vision Care Policy
Group Vision Care Policy Vision Care for Life Group Name: CITY OF BILLINGS Group Number: 30016484 Effective Date: JANUARY 1, 2014 EVIDENCE OF COVERAGE Provided by: VISION SERVICE PLAN INSURANCE COMPANY
Group Vision Care Plan
Group Vision Care Plan Vision Care for Life Group Name: CITY OF BILLINGS Group Number: 30016484 Effective Date: JANUARY 1, 2018 EVIDENCE OF COVERAGE Provided by: VISION SERVICE PLAN INSURANCE COMPANY 3333
VSP Vision Insurance
VSP Vision Insurance Vision Vision insurance is a type of health coverage to insure for services rendered by eye care professionals. It provides coverage for routine eye examinations and may cover all
Dental Benefit Summary
Desoto County School District Group Number: 00530560 Dental Benefit Summary About Your Benefits: A visit to your dentist can help you keep a great smile and prevent many health issues. But dental care
NorthWestern Energy. Vision Care Plan SUMMARY PLAN DESCRIPTION
NorthWestern Energy Vision Care Plan SUMMARY PLAN DESCRIPTION As in effect on January 1, 2017 TABLE OF CONTENTS INTRODUCTION... 1 DEFINITIONS... 2 ELIGIBILITY FOR COVERAGE... 4 Eligible Enrollee... 4 Eligible
2019 Annual Open Enrollment Form for Dental Coverage
DENTAL ENROLLMENT *INSdental* CHICAGO REGIONAL COUNCIL OF CARPENTERS WELFARE FUND RETIREE PLAN OF BENEFITS Fax: (312) 951-3986 Email: pension@crccbenefits.org 12 East Erie Street, Attn: Retirement Benefits
2015 Benefits Open Enrollment
2015 Benefits Open Enrollment 2015 Benefits Open Enrollment Ends: Friday, December 5 th All changes effective January 1, 2015. During open enrollment you may change your plan elections and covered dependents.
STEPS YOU ARE REQUIRED TO TAKE TO CONTINUE COVERAGE
Congratulations on your decision to retire! W e are pleased to provide benefit plan information for retirees for the 2017 calendar year. W e encourage you to review this communication and the enclosed