Thorlabs - 2024 Employee Benefit Guide - NJ New Hires (FINAL

CIGNA VISION PLAN - EYEMED NETWORK

OUT-OF-NETWORK REIMBURSEMENT

FREQUENCY CALENDAR YEAR

BENEFIT

IN-NETWORK

Exam Copay

$15 copay

Up to $45

12 Months

Materials Copay

$30 copay

N/A

24 months

Lenses: (one pair per frequency) Single Vision

Covered 100% after $30 copay Covered 100% after $30 copay Covered 100% after $30 copay Covered 100% after $30 copay

Up to $32 Up to $55 Up to $65 Up to $80

24 Months 24 Months 24 Months 24 Months

Bifocal Trifocal Lenticular

Contact Lenses: (one pair or single purchase per frequency) Elective Allowance Therapeutic Allowance

Up to $100 Covered 100%

Up to $87 Up to $210

24 Months 24 Months

Frame Retail Allowance (once per frequency)

Up to $100

Up to $55

24 Months

AVERAGE DISCOUNTS*

Eye Exams:

20% off the VSP doctor’s usual charge

Frames, Standard Lenses and Lens Options:

20% off VSP doctor’s usual charge, when complete pair of prescription glasses is purchased

Contact Lens Professional Services:

15% off VSP doctor’s usual charge for professional services. The contact lenses are not discounted

Laser Surgery:

An average of 15% off the laser surgeon's usual charge or 5% off of any promotional price, if it is less than the usual discounted price

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