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 guardianlife.com.
In-Network |
Out-of-Network |
|
|---|---|---|
Routine Eye Exam (every calendar year) |
$10 Copay |
Amount over $39 |
Frames (every other calendar year) |
$130 allowance |
Amount over $46 |
Contact Lenses (in lieu of glasses) |
$130 allowance |
Amount over $100 |
Standard Plastic Lenses (every calendar year) |
||
Single Vision |
$10 Copay |
Amount over $23 |
Bifocal |
$10 Copay |
Amount over $37 |
Trifocal |
$10 Copay |
Amount over $49 |
Lenticular |
$10 Copay |
Amount over $64 |
Per Pay Period Cost |
|
|---|---|
Employee |
$2.59 |
Employee + Spouse |
$6.12 |
Employee + Child(ren) |
$6.29 |
Family |
$11.47 |