Active Health Summary Plan Description
As of July 1, 2022
En Español (PDF)
Article 9: Vision Benefits >>
Extra Cost. This Plan is designed to cover your visual needs rather than cosmetic materials. If you select any of the following there will be an extra charge:
- Blended lenses;
- Contact lenses (except as noted elsewhere herein);
- Oversize lenses;
- Progressive multifocal lenses;
- Photochromic lenses or tinted lenses other than Pink #1 or #2;
- Coated lenses;
- Laminated Lenses;
- A frame that costs more than the Plan allowance;
- Certain limitations on low vision care;
- Cosmetic lenses;
- Optional cosmetic processes; or
- UV protected lenses.
Not Covered. There is no benefit for professional services or materials connected with:
- Orthoptics or vision training and any associated supplemental testing.
- Plano lenses (non-prescription).
- Two (2) pair of glasses in lieu of bifocals.
- Lenses and frames furnished under this program which are lost or broken will not be replaced except at the normal intervals when services are otherwise available.
- Medical or surgical treatment of the eyes.
- Any eye examination, or any corrective eyewear, required by an Employer as a condition of employment.
- Corrective vision services, treatments, and materials of an experimental nature.