VISION

Vision

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Vision Benefit Summary

Member Web and App Flyer

Online Options EyeMed Members

Special Offers Member Flyer

Documentos en Español

Como Utilizar el Folleto Web Para Miembros Aplicación Móvil

Cómo Utilizar el Folleto Web Para Miembros

Folleto de Ofertas Especiales Para Miembros

Folleto Para Miembros de Opciones en Línea

Resumen de beneficios de la Vista de PCC Airfoils

The vision plan is administered by EyeMed.

The following is a summary of your vision benefits. For a more detailed explanation of benefits, please refer to your Summary Plan Description (SPD), certificate of coverage or benefit summary.

	Network	Non-Network
Routine Eye Exam (Once every 12 months)	$20 copay	$30 copay
Eyeglass Frames (Once every 24 months)	$130 allowance + 20% off balance	Up to $50 allowance
Eyeglass Lenses (Once every 12 months) Single Lenses Bifocal Lenses Trifocal Lenses	$20 $20 $20	$25 allowance $40 allowance $55 allowance
Contact Lenses Conventional Disposable Non-Elective (Medically necessary)	$130 allowance, 15% off balance $130 allowance $0, paid-in-full	$105 allowance $105 allowance $210 allowance

Informational Videos

Vision Insurance