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Bonner Springs/Edwardsville USD 204
Vision Plan
The vision benefits will continue to be offered through Surency.
To identify participating providers, you may go to
www.surency.comor call 1-866-818-8805.
SURENCY
Copays
- Exams
- Lenses (Single, Bifocal, Trifocal)
$10
$25
Frequency Limitations
- Exams
- Lenses
- Frames
Once every 12 months
Once every 12 months
Once every 24 months
Reimbursement Schedule
- Exam
- Glass Lenses
- Single
- Bifocal
- Trifocal
- Contact Lenses
- Frames
100%
100%
100%
100%
$115 allowance, 15% off amount of $115
$100 allowance
Vision Plan Cost
Employee Cost Per Month
Employee Only
$7.76
Employee + Spouse
$16.27
Employee + Child(ren)
$13.95
Employee + Family
$26.10
This is only a summary. Please refer to your specific book/certificate for specific details. If a conflict arises, the booklet/certificate will govern in all cases.
Vision Insurance video for
better consumerism:
Why Eye Exams are important for Your Vision Health