Vision Protect your sight and enjoy those sunsets even more with vision insurance. Receive both preventive and materials coverage. Hover over the insurance terms below to learn what they mean. Trueview Vision Plan | In-Network | Out-of-Network | | Trueview | | EXAMS | $10 Copay | $35 Allowance | Vision | | CONTACT FIT & FOLLOW UP | $55 Copay | N/A | | MATERIALS | $20 Copay | Up to $25-$55 | Single: $20 Copay Single: $25 Allowance Bifocal: $20 Copay Bifocal: $40 Allowance LENSES Trifocal: $20 Copay Trifocal: $55 Allowance Lenticular: $20 Copay Lenticular: N/A FRAMES $130 Allowance $65 Allowance Elective: $130 Allowance Elective: $104 Allowance CONTACT LENSES Medically Necessary: Covered in Full Medically Necessary: $200 Allowance Exams: 1 X 12 Months FREQUENCY Lenses: 1 X 12 Months OF SERVICES Frames: 1 X 24 Months Contact Lenses: 1 X 12 Months Employee: $0 RATES PER Employee + Spouse: $0 WEEKLY PAY PERIOD Employee + Children: $0 Family: $0 The benefits and rates in this guide are for illustrative purposes only. To the extent the rates or the benefit plan information summarized herein differs from the underlying plan details specified in the insurance documents that govern the terms and conditions of the plans of insurance described in this guide, the underlying insurance documents will govern in all cases. 8