The vision care benefit is designed to pay a portion of eye examinations and lenses for
eligible employees and for covered eligible dependents if you are eligible for and have
elected dependent coverage. If you have covered vision care expenses while you are
eligible for benefits, the Plan will pay the benefits shown in your schedule of benefits.
Generally, vision examinations are paid once per individual in a 24-month period. A
vision care expense will be considered incurred on the date you receive the vision care
service or on the date vision supplies are ordered. For persons diagnosed with medical
conditions requiring more frequent examination, vision examinations will be covered
once per calendar year, up to the limit stated in your schedule of benefits, and as
specified for enrollees under age 19.
For more information regarding vision benefits please see page 56 in your Summary
Plan Description.