RLP New Hire Overview

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Vision Benefits
Eligible employees may sign up for vision coverage, which allows participants to get an examination and lenses every 12
months and frames every 24 months. Participants have the option of receiving care from a network provider or out-of-network
provider; however, if you use an out-of-network provider you will incur higher out-of-pocket expenses. For additional
information please visit
Aetna
In Network Out of Network
Copayments
- Examination $10 Copay $25 Allowance
- Materials $25 Copay Plan Allowance
Frequency of Service
- Vision Exam Rolling 12 Months Rolling 12 Months
- Lenses Rolling 12 Months Rolling 12 Months
- Frames* Rolling 24 Months Rolling 24 Months
- Contact Lenses* Rolling 12 Months Rolling 12 Months
Benefits
- Vision Exam $10 Copay Up to $25 Allowance
Lenses (pair)
Single Vision $25 Copay Up to $10 Allowance
Bifocal $25 Copay Up to $25 Allowance
Trifocal $25 Copay Up to $55 Allowance
*Frames $130 Allowance, 20% off balance Up to $65 Allowance
*Contact Lenses
$130 Allowance plus 15% dis-
count on balance. Elective - Up to $90; Medically Necessary-Up to
$200
Medically Necessary - Covered
in Full
Laser/Surgical Surgery PRK & LASIK 15% off retail price or 5% off
promotional price N/A