Agenda - 08-30-2011 - 3 - Laserfiche WebLink

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N N Orange Coulnty Government -Vision Prbgram Comparison Preparedby'Mark 111 EmployeeBene~ts=August 2011 Su erior ision - Hi h. Communi E e Care - Hi h Ameritas/E eMed - Hi h Plan Desi n In-Network Out-of-Network In-Network Out-of-Network In-Network Out-of-Network E e Exam Fre uen eve 12 months eve 12 mohths eve 12 months' eve 12 months eve 12 months eve 12 months Co- a merit fore a exam P Y y $10.00 Reimbursed up to $44/$39 $20.00 $20.00 $0.00 Up to $35 Co- a merit for material $10.00 $10.00 $0.00 $0.00 $0.00 $0.00 Frame fre uen eve 24 months eve 24 months eve 12 months eve 12 months eve 24 months eve 24 months Frame.aliowance covered up to $150 retail up to $77 Up to $150 allowance Up to $150 allowance*** covered up to $130 retail up to $65 Lens Fre uen eve 12 months eve 12 months eve 12 months eve 12 months eve 12 months eve 12 months ens Allowance . .Single Visio Covered in Full Up to $34 Up to $150 allowance Up to $150 allowance*** Covered in Full Up to $25 Bifoce Covered in Full Up to $48 Up to $150 allowance Up to $150 allowance*** Covered in full Up to $40 Trifoca Covered in Full Up to $64 Up to $150 allowance Up to $150 allowance*** Covered in Full Up to $55 Lenficula Covered in Fuli Up to $88 Up to $150 allowance Up to $150 allowance*** 20% discount Not Covered Progressiv Covered as Trifocal Up to $64 Up to $150 allowance Up to $150 allowance*** Copdy + $65 Not covered " Polycarbonate - $40 Polycarbonate - $40 Optional Add-Ons" Maximum Charge Scratch Coating - $13 Anti-Reflective -$50 No Benefit Up to $150 allowance *** Up to $15b allowance Scratch Coating - $15 No Benefit Anti-Reflective - $45 UV Coating - $15 UV Coating - $15 Contact lens allowance Every 12 months, medically necessary - up Every 12 months, medically necessary - up medically necessary -full, to $210, elective - up to Up to $150 allowance Up to $150 allowance*** medically necessary -full, to $200, elective - up to elective - u to $150 $100 elective - u to $130 $104 Contact LensFittin Fee $25.00 Not Covered $20.00 ,Not Covered None None Refractive Eye Surgery Discouht At Network Not Covered Discount at Network Not Covered Discount at Network Providers Providers Providers Not Covered Providers Visit www.superiorvision.comfor acomplete listing Visit www.communtiyeyecare.netfor acomplete Visit www.ameritasgroup.comfor acomplete listing of roviders listin of roviders of roviders Partici ation Re uirement None None None Financial Ratin , AM Best. A -National Guardian life Not Rated - Not an Insurance Co. A+ Em to ee $9.70 $9.74 Em to ee onl - $9.09 Em to ee+One $18.80 $18.54 Em to ee/S Ouse-$19 24 Em to ee + Fa~nil $27.60 $27.30 . Em to ee/Child ren - $16.48 Premium Stabilization No Em to ee/Femil -$26.64 ' Rate Guarantee 4 ears No 4 ears Yes 2 years Q ~'~'~ ~ ~m ~/oy~ e /Y-. r.~.s'~ ~ /e c:. f c~,:n . 10