Vision
Your eyes not only affect how you see, but how you feel. Caring for your vision can lead to a better quality of life. Your eyesight impacts your performance at work, school, and home. When your vision health is at its best, you perform better in all aspects of your life.
Employees have the opportunity to elect vision coverage provided for a monthly premium through payroll deduction.
Eligibility: This coverage is available to full-time employees (working in excess of 30 hours per week) during the first 31 days of employment, during open enrollment periods, and for qualifying events.
Eligible Dependents: Spouse and dependent children to age 26.
Effective Date: Coverage is effective the first day of the month following date of employment.
Coverage Options: Company pays the entire premium for coverage on the full-time employee; however, the employee may choose to cover one additional person or their entire family at an additional cost to the employee as outlined below.
Levels of Coverage – Employee BiWeekly Cost:
- Employee Only – $2.48
- Employee + Spouse – $4.97
- Employee + Child(ren) – $5.32
- Employee Plus Family – $8.49
FAQs
Q: When does my deductible start over for the Vision plan?
A: The vision plan year is based on the calendar year from January 1 to December 31. Deductibles reset on January 1.
Q: May I purchase both glasses and contact lenses?
A: The participant must choose to either purchase glasses or contact lenses in a 12-month period.
Q: If my vision provider will not file my claim with The Insurance Company and I have to pay, how do I get reimbursed?
A: Print and complete the Vision Claim Form only for out-of-network services and materials. The Insurance Company will only accept itemized paid receipts. Return the completed form and your itemized paid receipts to:
- The Insurance Company
- Attn: OON Claims
- PO Box 1234
- Kansas City, KS 42134-2345
Q: When can I add/drop dependents to/from my insurance?
A: You can add/drop dependents from your insurance if you have a qualifying event. A qualifying event is marriage, divorce, death, birth or adoption of a child, or change in spouse’s job (e.g. if a spouse had medical insurance coverage with their employer and then accepted another position with an employer that did not offer insurance, the spouse could be added to The Company employees insurance).
You will need to complete an Enrollment/Change Form within 30 days of the qualifying event (birth/adoption of a child has a 60-day change period). If the change is due to spouse’s job, attach a letter from the spouse’s employer indicating when the coverage will end/begin.
In the case of divorce, a copy of the divorce decree will need to be provided. In the cases of marriage, a copy of the marriage license will need to be provided.
Q: When will I receive my insurance cards?
A: You will receive one card for medical, dental, and vision. It will be mailed to your home address. Contact theinsurancecompany.com or call 1-800-123-4567 if you need a replacement card or additional cards.
Q: Are there network providers for the Vision portion of this coverage?
A: Members may see any vision care provider. However, contracted providers in our network have agreed to limit certain charges and provide additional discounts once the allowance has been reached.
Because we have no contract with non-network providers, members are responsible for all charges that exceed the out-of-network reimbursement.
Click on the link below to review the Vision Plan information for Employees:
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