Page 16 - Willscot I Mobile Mini Open Enrollment Guide

Vision Insurance
Having an annual eye exam is one of the best ways to make sure you’re keeping your eyes healthy. Eye exams can help prevent and treat easily correctable vision problems, which can cause permanent vision impairment.
Key Words to Know:
The service examples below are not guarantees of coverage; refer to Plan Documents to confirm covered services.
Copay: An amount you pay for a covered service each time you use that service
Retail Allowance: Maximum allowance paid toward the cost of vision materials; you are required to pay any amounts in excess of the retail allowance
Review Your Vision Plan Options
EyeMed
(Insight Network)
Vision Plan Summary
The following benefits are included in your plan options. Unless otherwise noted, benefits are per insured person and after deductible.
Enhanced
Copay
Frequency
Exam
Contact Lens Fitting Frames
$0
Not to exceed $40 Up to $185**
1 per 12 months 1 per 12 months 1 per 12 months
Lenses
$10
1 per 12 months
Retail Allowance
Frequency
Contact Lenses*
Up to $185**
1 per 12 months
*Contact lens coverage provided in lieu of frames and lenses **20% off any amount over the retail allowance
For additional plan details, visit
www.mercermarketplace.com/willscotmobilemini
16 Copyright2021MercerHealth&BenefitsLLC.Allrightsreserved. www.mercermarketplace.com/willscotmobilemini