Texas A&M University System 2018 Open Enrollment

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Superior Vision Plan 1Lens copays do not apply to contact lenses or frames 2The specialty contact lens fitting is for new contact lens wearers and/or a member who wears toric, gas permeable or multifocal lenses. 3Contact lenses are in lieu of eyeglass lenses and frame benefit

Superior Discounts Discounts on Covered Materials Frames: 20% off amount over allowance Lens options: 20% off retail Progressives – Tier 4: 20% off retail, then apply allowance Specialty Contact Lens Fit: 10% off retail, then apply allowance Maximum Member Out-of-Pocket The following options have out-of-pocket maximums on standard (not premium, brand, or progressive) lenses. Single Vision Bifocal & Trifocal Ultraviolet coat $15 $15 Tints, solid or gradients $25 $25 Polycarbonate for Adults $40 $40 Anti-reflective coat $50 $50 High index 1.6 $55 20% off retail Photochromic $80 20% off retail Discounts on Non-Covered Exam, Services, and Materials Exams, frames, and prescription lens: 30% off retail Lens options, contacts, other prescription materials: 20% off retail Disposable contact lenses: 10% off retail Retinal Imaging: $39 maximum member out-of-pocket Laser Vision Correction (LASIK) Superior Vision has a nationwide network of refractive surgeons and leading LASIK networks who offer members discounts ranging from 15% to 50%. Ask your provider if they offer Superior Vision discounts, as not all providers participate. Please verify services and discounts available prior to receiving service as offers may vary. The Plan discount features are not insurance. Discounts are subject to change without notice.

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Superior Network Superior Choice Employees can use their full vision benefits and full allowance at ANY of our network providers – including LensCrafters, Pearle Vision, & Target Optical. The Superior Vision Plan is underwritten by National Guardian Life Insurance Company. National Guardian Life Insurance Company is not affiliated with The Guardian Life Insurance Company of America, a/k/a The Guardian or Guardian Life. SVS-SAL 16-0205v001 SL 04/20/2016

SuperiorVision.com Customer Service 844.549.2603 M-F 7:00 am – 8:00 pm CST Sat 10:00 am – 3:30 pm CST contactus@superiorvision.com