Ogelthorpe University 2016 Benefit Guide

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13 UNDERS TAND I NG
YOUR VISION PLAN
Vision Questions? Need to Locate a Provider?
Contact EyeMed
1-866-299-1358 or
Group #: 9836370
EyeMed offers complete, high quality vision care to Oglethorpe University employees through their Select
network. The plan includes benefits for eye exams, frames, eyeglasses and contact lenses. In addition,
members receive discounts for Lasik surgery and preferred pricing for frames.
Members can find in network providers by clicking on the “Find a Provider” link at and
choosing the “Select” network.
Network Providers Include: Lenscrafters, Pearle Vision, JC Penney, Sears,
Macy's, Target, For Eyes
Select Network Providers Out of Network Providers
$10 Co-pay Up to $30
Prescription Lenses
Single $20 Co-pay Up to $25
Bifocal $20 Co-pay Up to $40
Trifocal $20 Co-pay Up to $60
Progressive
Standard: $85 Co-pay
Premium: $85 Co-pay plus 20% discount on
additional charges
Up to $40
$130 Retail Allowance plus 20% discount on
additional charges
Up to $65
Contact Lenses (in lieu of glasses)
Contact Lens Fitting
Standard: Up to $40 Co-pay
Specialty: $50 Retail Allowance
Not Covered
Once every 12 months
Eye Exam Once every 12 months
Once every 12 months
Frames Once every 24 months
$130 Retail Allowance, 15% discount on
additional charges (no discount for
disposable lenses)
Up to $104