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EyeMed Vision offers complete, high quality vision care to Pacific Coast Title Company employees. The

plan includes benefits for eye exams, frames, eyeglasses and contact lenses. In addition, members

receive discounts on Lasik surgery and additional frames and lenses.

To locate a vision provider, go to

eyemed.com.

Choose the

Select

network, then enter your search

criteria. Retail locations include Americas Best, Wal-mart, LensCrafters, Sears Optical, EyExam of CA,

Macys, Target, JCPenney and more. Many independent providers also participate in the network.

VISION PLAN

Benefit Frequency

Eye Exam

Eyeglass Lenses or Contact Lenses

Frames

Benefit or Service

Eye Exam

Eyeglass Lenses

Single Vision

Bifocal

Trifocal

Progressive

Contact Lenses

(in lieu of Eyeglass Lenses/Frames)

Conventional

Disposable

Fitting Fee and Follow-up Exam

Frames

(in lieu of Contact Lenses)

Once per 12 months

Once per 24 months

In-Network

(you pay)

$25 Copay

$135 Allowance; then 85% of

balance over $135

$25 Copay; then 20% of charge

less $55 Allowance

Up to $49

Up to $108

Up to $35

Up to $49

Up to $74

Vision Coverage - EyeMed Vision Care

Once per 12 months

$10 Copay

Up to $35

$135 Allowance

Up to $108

Standard Lens: Covered up to $40

Premium Lens: 10% discount

Not Covered

$120 Allowance; then 80% of

balance over $120

Up to $60

Out-Of-Network

(

you are reimbursed)