MMFS Employee Benefits Guide 2022

VISION BENEFITS

Guardian is our vision carrier for the 2021-22 plan year. Guardian uses the Davis Vision Designer network, which offers members a wide variety of retail chain options to choose from for vision care in addition to high quality benefits. Please read below for more information on how they can help you and your family.

BENEFIT

IN-NETWORK

OUT-OF-NETWORK

$10

Up to $50 reimbursement

Eye Exam

$25

See below

Materials

Frequency Exam

12 months 12 months 12 months

Lenses Frames

$130 Allowance + 20% off balance

Frames

Up to $48 reimbursement

Lenses Single Vision Lenses Bifocal Vision Lenses Trifocal Vision Lenses

Covered 100% after $25 copay Covered 100% after $25 copay Covered 100% after $25 copay

Up to $48 reimbursement Up to $67 reimbursement Up to $86 reimbursement

Contact Lenses Conventional

$130 allowance + 15% off balance $130 allowance + 15% off balance Covered 100% after $25 copay

Up to $105 reimbursement Up to $105 reimbursement Up to $210 reimbursement

Disposable Therapeutic

SOME PARTICIPATING RETAIL CHAINS:

CostCo JcPenney Pearle Vision Sam’s Club Target Visionworks Walmart

QUESTIONS? Call BenefitsVIP at 866.286.5354