Page 57 - Takoma Park Benefits Guide 2022
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Vision Benefits
TPSS Co-Op provides Vision benefits through: Avesis
Avesis Advantage Vision Plan
» Choose from a large national network of providers.
» In-Network and Out-of-Network coverage. (Note: If you use an out-of-network provider then
you will need to pay the full cost up-front then submit for reimbursement)
» Vision exam covered in full with a $10 copay and substantial discounts on vision correction
materials through.
» Please refer to the attached summary plan description for more details.
Avesis Advantage
Vision Plan
Benefits
In Out
Coinsurance 100% Allowance
Exam $10 Copay $35 Allowance
Eye Glasses Lenses Single: 20% Discount N/A
Frame Allowance Published wholesale
price plus 40% discount N/A
Contact Lenses Elective: 10% to 20% N/A
off retail fees
Service Interval 12 Mos. 12 Mos.
Rates
Individual $1.38
Parent/Child $2.26
Employee/Spouse $2.41
Family $3.56
