In-Network DeltaVision Benefit Options

Full Plans Exams/Standard Plastic Lenses (copays apply) Frames / Contact Lens Allowance Materials-Only Plan Employer Contributions from 0-100% Multi-Tier rate structure Participation Requirements Dependents covered to age 19, full-time students covered to age 25.

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Additional In-Network Discounts

• 20% discount on items not covered by the plan at network providers. This discount may not be combined with any other discounts or promotional offers. The discount does not apply to an EyeMed provider’s professional services, or contact lenses. Retail prices may vary by location.
• 40% discount off complete eyeglass purchases, once the funded benefit has been used.
• 15% discount off conventional contact lenses, once the funded benefit has been used.
• Buy Contacts Online and Save! After initial purchase, replacement contact lenses may be obtained via the Internet at substantial savings, and mailed directly to the member. Details are available at www.eyemedcontacts.com. The contact
  lens benefit allowance is not applicable to this service.

Discounts do not apply for benefits provided by other group benefit plans.

Non-Network Reimbursements

• Out-of-network reimbursements vary on the basis of plan design.  Select the brochure image above for additional information.

DeltaVision® is offered through Canyon Insurance Services, Inc., a wholly owned subsidiary of Delta Dental of Arizona, in partnership with EyeMed Vision Care, LLC.