Plan Details

Group Details:

Effective Date: 5/01/2010
Group Number: 20790-1160

Benefit Frequency:

Vision Exam: Every 12 Months
Spectacle Lenses: Every 12 Months
Frames: Every 24 Months
Contact Lenses: Every 12 Months

Co-pays:

Vision Examination: $10.00
Materials: $10.00

Rates:

Employee Only: $8.82 per month
Employee + One: $15.44 per month
Employee + Family: $22.95 per month

Out Of Network Reimbursement:

Exam: Up to $35.00
Standard Single Vision: Up to $25.00
Standard Bifocal: Up to $40.00
Standard Trifocal: Up to $50.00
Standard Lenticular: Up to $80.00
Progressive: Up to $40.00
Specialty Lenses: Corresponding Standard Lense Reimbursement
Frame: Up to $45.00
Contact Lenses (Elective): Up to $130.00
Contact Lenses (Med. Necessary): Up to $250.00
LASIK Surgery: Up to $150.00

NAPA Avesis Vision Plan Highlights

• Sixty eight percent (68%) of the network consists of independent providers while the remaining thirty two percent (32%) are retail chain stores.

• Whether you are an insured carrier, self-insured company, health care provider or a company who wants to provide benefits for its employees, savings are possible because our network providers agree to provide vision care at negotiated fees. 

• Lower out-of-pocket expenses when selecting an in-network provider

• One of the largest networks of participating Optometrists and Ophthalmologists

• Freedom to choose a different participating Optometrist or Ophthalmologist for each member of the family

• Freedom to choose an Optometrist or Ophthalmologist in or out of the network when used with an insured vision benefit plan

• Toll-free service hotline staffed with skilled professionals