Vision Plan

The Vision Plan is provided at no additional cost to employees and their dependents enrolled in any of the State-sponsored health plans. This plan is intended to encourage regular eye examinations and assist with vision care expenses when glasses or contact lenses are needed. Under the plan an eye exam is covered once every 12 months. The benefits for spectacle lenses and frames or contact lenses is payable once every 24 months. Plan participants are eligible to receive the following benefits:

Services	Network Provider Benefits	Out-of Network Provider Benefits
Spectacle Lenses(single, bifocal and trifocal)	$10 co-payment	$40 allowance for single vision lenses
Standard Frames	$10 co-payment (Up to $130 retail frame cost: member responsible for balance over $130)!	$50 allowance
Contact  Lenses (All contact lenses are in lieu of standard frames and spectacle lenses)	$100 allowance	$100 allowance

For additional information contact the Plan administrator EyeMed Vision Care: http://www.eyemedvisioncare.com/stil.