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Materials Only Insured Plan
 

How the Materials Only Plan Works

Materials Only provides standard lenses and frames from a high quality selection that is covered in full after the applicable copay. Or the employee or dependent can choose to receive a generous allowance towards the purchase of contacts in lieu of frames and lenses. This plan works well for a group that already has an eye exam under the groups medical plan.

Schedule of Benefits

Benefit Frequency
  In-Network Out-of-Network
Standard Lenses (pair) 12 Months 12 Months
Frame 24 Months 24 Months
Contact Lenses 12 Months 12 Months
Benefit Allowance and Reimbursement
  In-Network Out-of-Network
Standard Lenses - Single Vision 100% after the applicable copayment Reimbursed up to $25.00
Standard Lenses - Bifocal 100% after the applicable copayment Reimbursed up to $40.00
Standard Lenses - Trifocal 100% after the applicable copayment Reimbursed up to $50.00
Standard Lenses - Lenticular 100% after the applicable copayment Reimbursed up to $80.00
Frame Covered 100%, within the plan allowance after the applicable copayment Reimbursed up to $45.00
Contact Lenses - Elective* 100% up to the plan allowance Reimbursed up to $130.00
Contact Lenses - Medically Necessary* Covered in full Reimbursed up to $250.00
Additional purchases, or add-ons to standard lenses * 20% off the providers retail N/A
  • Rates are guaranteed for two (2) years.
  • The vision plan requires a minimum participation of ten (10) eligible employees.
  • Employer Paid rates need particpation of 100% of eligible employees, 2 lives minimum.
  • Each employee enrolling in the Group Vision Plan must agree to remain enrolled during the designated plan period.
  • Those employees who elect not to enroll during the initial plan enrollment period must wait until the next plan enrollment period to enroll. The plan enrollment period shall be the month prior to the beginning of the next plan year.
  • New employees who elect coverage in the Group Vision Plan must enroll within thirty (30) days of their date of employment and shall become eligible for coverage on the first day of the month coinciding with the effective date of the employer's group medical plan.

The Advantage Plan is underwritten by Fidelity Security Life Insurance Company, Kansas City, MO; VC-16, M-9004.

 

 

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Select Networks · 317 6th Avenue, Suite 1440 · Des Moines, IA 50309-4109
Phone: 515-244-6282 · Toll-Free: 800-797-6282 · info@eyeplan.com