This benefit provides you with
additional insurance coverage. My
Choice offers the following coverage options:
|
Maximum Benefit |
|
|
Bronze |
$150/24
months |
|
|
Silver |
$350/24
months |
|
|
Gold |
$500/24
months |
|
|
Opt Out * |
No
Coverage |
* You
may opt out of Vision Care regardless of whether or not you have spousal
coverage.
The following is a further
description of some of the specific elements of your Vision Care plan.
g
Benefit |
■
This benefit provides coverage for lenses and
frames for eyeglasses, contact lenses or laser eye surgery limited to the
maximum benefit per eligible insured person in any period of 24 consecutive
months. ■
Medically required contact lenses prescribed
for severe corneal astigmatism, severe corneal scarring, Keratoconus
(orical cornea) or Aphakia,
provided visual acuity can be improved to at least the 20/40 level by contact
lenses but cannot be improved to that level by spectacle lenses. Limited to a maximum benefit of $200 in any
24 consecutive months. |
g
Eye
Exams |
■
One examination up to a Great-West Life's
reasonable and customary limits in each consecutive 24 month period (12
months for dependents under 18 years old). |
g
Termination
of Benefit |
■
Age 70 or earlier retirement. |