Benefit Reference Guide - The School District of Palm Beach County

Vision
Additional Purchases and Out-of-Pocket
Discount
You will receive a 20 percent discount on items not covered by the
plan at participating providers, which may not be combined with
any other discounts or promotional offers, and the discount does
not apply to EyeMed’s Providers’ professional services or disposable
contact lenses.
Benefits are not provided for services or materials arising from:
orthoptic or vision training; subnormal vision aids and any
associated supplemental testing; aniseikonic lenses; medical and/
or surgical treatment of the eyes; corrective eye wear required by
an employer as a condition of employment, and safety eye wear;
services provided as a result of Workers’ Compensation law; plano
non-prescription lenses and non-prescription sunglasses (except
for the 20 percent EyeMed discount); two pairs of glasses in lieu
of bifocals; services or materials provided by any other group
benefit providing for vision care. Benefit allowances provide no
remaining balance for future use within the same benefit period.
Lost or broken lenses, frames, glasses, or contact lenses will not be
replaced except in the next benefit period.
Continued Eye wear Savings - Your EyeMed benefit also provides
for continued savings through our Continued Eye wear Savings
Plan. After your initial benefits have been utilized, you may receive
ongoing discounts on additional eye wear purchases at EyeMed
provider locations, which result in discounts up to 40 percent off
the retail price of complete pair eyeglass purchases, 20 percent off
partial pair, and 15 percent off conventional contact lenses. See
your EyeMed provider for details.
VISION CARE PREMIUMS
Per pay period pre-tax payroll deductions are as follows:
Full time or PART time
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Deductions Deductions
EyeMed Vision Care Option
Employee Only $2.62 $2.86
Employee & Family $6.73 $7.34
Amounts reflected on paychecks may vary slightly due to
rounding.
To Locate An EyeMed Provider
Near You:
Visit the EyeMed website at www.eyemedvisioncare.com
and choose the “Select” network and enter your zip code to find a
provider.
Enrollment of any children and a Domestic Partner will be the
equivalent of the above rates. The deductions will be reflected as
the Employee – only pre-tax rate and the balance of the deduction
will be taken on an after-tax basis.
Customer Service Representatives are available to answer your
questions seven days a week, including evenings. EyeMed offers
easy-to-use benefits, with no claim forms to complete for innetwork
services.
Call EyeMed Customer Call Center at 1-866-299-1358 and choose
the “Provider Locator” automated option, or speak to a Customer
Service Rep during normal operating hours
(Monday-Friday, 8 a.m. - 11 p.m.; Sunday, 11 a.m. - 7:30 p.m. EST).
www.myFBMC.com
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