View your Open Enrollment Instructions!

Employer ID: CTWD0188

User Name: First 6 letters of last name and last 4 digits of SSN

Password: Last 4 digits of your SSN

 

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The health of your eyes is an indicator of your overall health so it's important to have regular eye exams to detect diseases like glaucoma, diabetes and blindness. So, make sure you and your family visit your vision provider regularly.

The information contained in this presentation is an overview of your benefits. If you have specific questions regarding a provider or procedure, please call EyeMed Customer Service at (866) 268-4063 or refer to the EyeMed Vision SPD.

Vision Plan Benefits

Benefits

In-Network (EyeMed Providers)

Out-of-Network (Non-EyeMed Providers)

Exam (Each Calendar Year)

$10 Copay

Up to $35

Standard Plastic Lenses(Every 12 Months)

 

 

     Single

$25 Copay

Up to $25

     Bifocal

$25 Copay

Up to $40

     Trifocal

$25 Copay

Up to $60

Frames (Every 24 Months)

$120 allowance plus 20% off balance over $120

Up to $48

Contact Lenses (Every 12Months)

Up to $40 for Contact Lens Fit & Follow-up

No Coverage for Fit & Follow-up

     Elective

$135 allowance plus 15% off balance over $135

Up to $95

     Medically Necessary

Covered at 100%

Up to $200

LASIK/PRK Procedures

15% off retail or 5% off promotional pricing No Coverage

Vision Payroll Deductions

Rates Per Pay Period

Bi-Weekly (26 Times)

Employee

Rates Per Pay Period

Employee Only

$2.58

Employee + 1

$4.89

Family

$7.16

 

Finding Providers

How do you find an EyeMed Vision provider?

It's easy! There are several ways!!

1. Contact your provider and ask:

"Do you participate in the EyeMed Select Vision Network?"

2. Contact EyeMed at the toll-free number:

1 (866) 268-4063

3. Visit them on the Internet at:

www.eyemedvisioncare.com (choose "Select" from the provider locator dropdown box)