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AlwaysVision products are PPO plans, including full-service as well as exam-only or materials-only plans. Vision plans can be custom built to satisfy each employee's budget and benefit needs. Below are two of our most popular plan designs:
| ELITE SERIES |
| Service |
In-Network |
Out-of-Network Allowances |
|
| Exam (once per 12 months) |
$10 co-pay |
Up to $35 |
|
| Materials: |
$10 or $25 co-pay |
|
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Standard Plastic Lenses (once per 12 or 24 months)
Single Vision
Bifocal
Trifocal
Lenticular
Progressive |
Covered
Covered
Covered
$80 allowance
$70 allowance |
Up to $25
Up to $40
Up to $50
Up to $50
Up to $40 |
|
Frames (once per 12 or 24 months)
Member may select any frame available |
$120 retail allowance
($94 at Wal-Mart and Sam's Club) |
Up to $50 retail allowance |
|
Contact Lenses* (once per 12 or 24 months)
Fit, follow-up and materials
Elective
Medically Necessary
*Contact Lenses are in lieu of Eyeglass Lenses and Frames |
Up to $120 retail allowance
Up to $210 retail allowance |
Up to $100 retail allowance
Up to $210 retail allowance |
|
| MATERIALS ONLY WITH INSURED HEARING BENEFIT RIDER** |
| Service |
In-Network |
Out-of-Network Allowances |
|
| Materials: |
$10 or $25 co-pay |
see below |
|
Standard Plastic Lenses (Once every 12 Months)
Single Vision
Bifocal
Trifocal
Lenticular
Progressive
|
Covered
Covered
Covered
$80 allowance
$70 allowance |
Up to $25
Up to $40
Up to $50
Up to $50
Up to $40 |
|
Frames (Once every 12 or 24 months)
Member may select any frame available |
$120 retail allowance
($94 at Wal-Mart and Sam's Club) |
Up to $50 retail allowance |
|
Contact Lenses* (Once every 12 Months)
(Includeds fit, follow-up and materials
Elective
Medically Necessary
*Contact Lenses are in lieu of Eyeglass Lenses and Frames
**Materials Only plan sold with the insured Hearing Benefit Rider
and a minimum of 10 enrolled lives.
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Up to $120 retail
Up to $210 retail |
Up to $100 retail
Up to $210 retail |
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Group size and participation.
Stand alone Vision plans available for groups with as few as five enrolled employees; also available with as few as two enrolled employees when combined with AlwaysDental coverage.
Starmount Life Insurance Company Policy Form Series VI-2002 and VI-2007
National Guardian Life Insurance Company Policy Form Series NVIGRP2002 and NVIGRP 5/07
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