Page 8 - 2019 Hess Benefits Decision Guide
P. 8

 Vision
When you enroll in the
Hess Medical Plan, you automatically receive vision coverage from Anthem.
 You get free preventive exams when you use an in-network vision care provider. Here’s how Anthem covers other vision services:
ANNUAL EXAMS $40 allowance
   IN NETWORK
OUT OF NETWORK
     Covered Services
Every 12 months:
Every 12 months:
  100%, no co-pay
     FRAMES
   CONTACTS
$130 allowance; 20% discount
100% after $35 co-pay
$45 allowance
     LENSES*
Single Vision Bifocal Trifocal Lenticular
$25 allowance $40 allowance $55 allowance $75 allowance
    Elective Conventional Elective Disposable Non-Elective
Contact Lens Fitting
$200 allowance; 15% discount $200 allowance
100%
100%
$105 allowance $105 allowance $210 allowance Not covered
     * Options such as extra-thin lenses or special lens coatings may increase your out-of-pocket costs.
{tip} USING YOUR VISION
COVERAGE
When you have a routine, preventive eye exam, make sure your vision care provider notes the visit as “preventive” on the bill so that the plan will cover the full cost.
 6 VISION
 




































































   6   7   8   9   10