Vision Benefits
Vision insurance offers coverage for the routine care of your eyes and may provide coverage for eyeglasses and contact lenses. Your plan will pay for these services based upon the schedule below. Be sure to check your plan certificate for details.
Keep in mind that your costs will generally be lower if you choose an in-network eye-doctor. To find an in-network eye-doctor, please visit https://guardiananytime.com.
Network Member Cost |
Non-Network Reimbursement |
|
|---|---|---|
Eye Exam |
$20 Copay |
Up to $39 |
Frames |
$150 Allowance (additional 20% off amount over allowance) |
Up to $46 |
Lenses ( Per Pair) |
||
Single |
$20 Copay |
Up to $23 |
Bifocal |
$20 Copay |
Up to $37 |
Trifocal |
$20 Copay |
Up to $49 |
Bifocal |
$20 Copay |
Up to $64 |
Contact Lenses |
$150 Allowance |
Up to $100 |
Frequency |
Exams: 12 Months |
Exams: 12 Months |
Rates Per Pay Period |
|
|---|---|
Employee |
$4.75 |
Employee + Spouse |
$9.49 |
Employee + Child(ren) |
$9.02 |
Family |
$14.17 |
Group Number
542873
Provided By
Guardian
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