Smokey Bones Online Benefits Information

VISION

The EyeMed Vision Plan provides you and your family with quality vision benefits at an affordable cost. The program is designed to encourage you and your family to visit the optometrist or ophthalmologist regularly to maintain your vision health. Your vision provider’s office can also supply you with the necessary
hardware and materials to meet your daily vision needs. This is a brief highlight of the major plan provisions. You must refer to the individual plan brochure for details regarding the plan. The plan covers service from any licensed provider but benefits are paid at a higher level when you use an in-network provider.
For additional information, please contact the Human Resources Department.
Vision Plan Summary

The EyeMed Vision Plan provides you and your family with quality vision benefits at an affordable cost. The program is designed to encourage you and your family to visit the optometrist or ophthalmologist regularly to maintain your vision health. Your vision provider’s office can also supply you with the necessary hardware and materials to meet your daily vision needs. This is a brief highlight of the major plan provisions. You must refer to the individual plan brochure for details regarding the plan. The plan covers service from any licensed provider but benefits are paid at a higher level when you use an in-network provider.

For additional information, please contact the Human Resources Department.

Vision Plan Summary

 

Benefit Highlights In-Network Out-of-Network
Plan Frequency
Exam 1 every 12 months 1 every 12 months
Lenses 1 every 12 months 1 every 12 months
Frames 1 every 12 months 1 every 12 months
Copays
Exam $10 Reimbursed to $25
Lenses $10 See below
Lenses
Single Lens $10 Reimbursed to $25
Bifocal Lens $10 Reimbursed to $30
Trifocal Lens $10 Reimbursed to $50
Lenticular Lens $10 Reimbursed to $200
Contact Lenses
Conventional $100 Allowance Reimbursed to $50
Disposable $100 Allowance Reimbursed to $50
Medically Necessary covered in Full Reimbursed to $200
Frames
Benefit $100 Allowance Reimbursed to $50
Lasik
Benefit Discounts Not Covered

Firestarter Vision Payroll Deductions

Per Pay Period Bi-Weekly
EE Only $2.63
EE & Spouse $4.99
EE & Child(ren) $5.26
EE & Family $7.73

Additional Information-click on link(s) below

EyeMed Network - Where to "Look" for eye care
Vision Plan Summary

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