12.07.2015 Views

Open Enrollment 2011 - Delaware North

Open Enrollment 2011 - Delaware North

Open Enrollment 2011 - Delaware North

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

Non-Union Vision Plan (EyeMed - In-Network)No Changes for <strong>2011</strong> – Plan & Premiums Remain the Same as in 2010Exam (1 per year) $10 copay 1 exam per 12 monthsStandard LensesSingle, Bifocal, Trifocal $10 copay 1 pair per 12 monthsStandard FramesContacts – MedicallyNecessaryContacts – ElectiveConventional$0 copay$120 allowance100%$120 allowance notincluding fitting; 15% onamount over $1201 pair per 24 months1 pair per 12 monthsWith prior approval1 pair per 24 monthsDisposable$120 allowance notincluding fittingDependents covered to age 19; age 25 if full time students.

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!