Over 25,000 providers andgrowing. Members are able tosearch for a provider using zipcode and mile radius as well asother advanced search criteria.

Once enrolled, members can log into their specific account to viewinformation specific to their plan,including a Benefit Summary, theirprintable ID cards, and up-to-dateeligibility data.

Members have a growing knowledgebase of information to educate themon how to get the most out of theirvision care benefit experience. Anextensive glossary, list of vision facts,and an out-of-network claim form isavailable for downloading.

Customer Service

Member Website Technologies

Limitations and Exclusions

Call us toll-free 800-828-9341, 7am - 8pm (eastern standardtime). An experienced and friendly representative will bemore than happy to assist you in finding a provider, checkingeligibility or any other member related questions that youmay have.

Using www.avesis.com, members can easily do the following:

Some provisions, benefits, exclusions, or limitations listedherein may vary depending on your state of residence.

Limitations: This plan is designed to cover eye examinationsand corrective eyewear. It is also designed to cover visualneeds rather than cosmetic options. Should the member selectoptions that are not covered under the plan, as shown in theschedule of benefits, the member will pay a discounted fee tothe participating Avesis provider. Benefits are payable only forservices received while the group and individual member’scoverage is in force.

Exclusions: There are no benefits under the plan forprofessional services or materials connected with and arisingfrom: 1) Orthoptics of vision training; 2) Subnormal visionaids and any supplemental testing; 3) Plano (non-prescription)lenses, sunglasses; 4) Two pair of glasses in lieu of bifocallenses; 5) Any medical or surgical treatment of eye or supportstructures; 6) Replacement of lost or broken lenses, contactlenses or frames, except when the member is normallyeligible for services; 7) Any eye examination or correctiveeyewear required by an employer as a condition ofemployment; 8) Services or materials provided as a result ofWorkers Compensation Law, or similar legislation, requiredby any governmental agency whether Federal, State orsubdivision thereof.

The RightVision PlanDon’t ignore your vision care needs.

www.avesis.com

www.avesis.com

search

view

download

For Providers.

Benefit SummaryEligibility, and more.

Claim Form, VisionFacts, and more.

3724 North 3rd StreetPhoenix, Arizona 85012

09/08 - 030

Underwritten by: Fidelity Security Life Insurance Company, Kansas City, MOVC-16 Form M-9059

Avesis Vision Benefits What the Plan Covers

LASIK Coverage Additional Discounts

Eligibility

Understanding Your Vision Care Needs...is the first step in identifying how a vision plan will best fit into a healthcare package for you and your family. With more peopleneeding some sort of vision correction growing each year, having the insurance of a quality vision benefit can ensure that youroutinely check for any changes in your eyesight and potentially save you hundreds of dollars in unexpected expenses.

How the Vision Plan Works

The Avesis plans provide covered members with a completevision examination, a pair of spectacle lenses, and a frame.If the member elects to receive contact lenses in place ofspectacle lenses and frames, Avesis will provide a generousallowance of $110 or $130 depending on the plan selected.

With a quality Vision Plan from Avesis, you have theconfidence of knowing that you and your family member’svision care needs are covered. Plans are flexible to givemembers choices; affordable, giving members one of thebest values in healthcare.

Spectacle Lenses include: (Standard single vision, bifocal, trifocal orlenticular lenses). Lens options are discounted when using aparticipating provider by as much as 20% off of retail pricing.Participating providers will carry an assortment of frames withinthe allowance for each Avesis plan. Contact Lenses are in lieu offrames and spectacle lenses and are not subject to a co-pay. Co-paysmay apply for vision exams and optical materials.

Giving members more choices is a continuing goal forAvesis. In addition to our in-network coverage listed above,Avesis provides reimbursement coverage for members whoelect to go to non-participating providers.

A fee schedule for out-of-network service is available at www.avesis.com

The popularity of laser technology to correct certain visionconditions continues to grow. Avesis provides its memberswith a LASIK allowance of $100 or $150 depending onwhich program is selected (Enhanced or Plus). In addition,Avesis’ national network of providers will discount theirservice up to 25% prior to applying the LASIK allowance.

A discount fee schedule for LASIK is available at www.avesis.com.

Vision care benefits are typically available to all activeemployees as defined by your group. Benefits are extended toinclude spouses and dependents (see your Benefits Managerfor group dependent eligibility rules).

The Avesis plans are designed to give each member acomplete solution for vision correction. If the memberchooses, add-ons can be purchased at a substantial savingsof up to 20% off of retail pricing. Even after membershave exhausted their covered benefits for the plan period,they will still be able to take advantage of deep discountson additional eyewear from participating providers.

Locate a Providerusing the web -www.avesis.com or bycalling 800-828-9341.

Make an appointmentwith the provider,identifying yourselfas an Avesis Member.

Present your AvesisID Card and pay anyco-pays or charges fornon-covered items.

Vision Exam Covered at 100%Spectacle Lenses Covered at 100%Lens Options Discounted PricingFrame (within allowance) Covered at 100%Elective Contact Lenses $110 or $130 Allowance

Taking care of your vision should be a top priority. Avesis gives you the peace of mind you need.