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1. Vision Care Benefits
2. Summary of Covered Charges
3. Vision Care Providers

1. Lasik Surgery
2. Vision Costs

VISION CARE BENEFITS

As a regular full-time faculty or staff member, you may choose to enroll in the Penn State Vision Plan for yourself and for your eligible dependents. The Vision Plan is administered by National Vision Administrators (NVA), which offers vision care benefits through a nationwide network of qualified providers. As an alternative to NVA participating providers, you may use any eye care specialist.

• When you use an NVA network provider, you will maximize your benefits. NVA contracts with eye care professionals to provide quality services at a discounted rate. Additionally, NVA has negotiated wholesale prices on lenses, frames and other materials. No claim forms are needed for NVA network providers.
• When you use an out-of-network provider, NVA pays an allowance toward covered services. You must pay the provider for all services and then file a claim form in order to be reimbursed for the Vision Plan's share of the cost. You can download the claim form from the Employee Benefits Division web site at http://www.ohr.psu.edu/benefits/nva.pdf.

SUMMARY OF COVERED CHARGES

• One eye examination per calendar year up to $40.
• One set of lenses every other year from $35 to $50 depending on the type of lenses OR contact lenses up to $50 every other calendar year.
• One set of frames every other calendar year up to $30.
• The maximum benefit in any calendar year will be $100.

NOTE: Charges for lenses and frames for children under fourteen years of age will be considered each calendar year.

NVA also provides access to discounted mail-order service for contact lenses that can be used without limitation and regardless of benefit availability in a given year. You may learn more about Contact Fill from their website.

VISION CARE PROVIDERS

You can locate NVA providers in your area by calling 800-672-7723 or by checking the NVA website.

LASIK SURGERY

NVA also offers access to an in-network benefit for Lasik eye surgery. The participating providers offer a 15% discount for Lasik surgery. You can view the list of participating Lasik surgery providers on the NVA web site.

VISION COSTS 2008