What the Vision Plan Does Not Cover

This plan is designed to cover your basic visual needs. Therefore, there will be an extra charge for any of the following (discounts may apply through network providers):

• - Blended, cosmetic, coated, laminated, oversize, progressive multifocal, tinted (other than Pink 1 or 2), or UV-protected lenses. However polycarbonate and scratch-resistant lenses are covered.
• - Costs for services and/or eyewear (frames, lenses) that exceed the plan allowances.
• - Optional cosmetic processes.

In addition, this plan does not cover the following services or materials:

• - Orthoptics or vision training, and any associated supplemental testing.
• - Plano lenses (less than ±.50 diopter power).
• - Two pairs of glasses in lieu of bifocals.
• - Replacement of lost or broken lenses and frames furnished under this program except at the normal intervals when services are otherwise available.
• - Medical or surgical treatment of the eyes.
• - Corrective vision services, treatments and materials of an experimental nature.

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Questions about your employee benefits or other Human Resources issues? Contact the Workplace Solutions Center at (888) 471-2271.