Vision Benefits

	In-Network	Non-Network Reimbursement
Routine Eye Exam	$10 Copay	Upt to $45
Standard Lenses	$25 Copay	Up to $30
Contact Lenses	$130 Allowance	Up to $105
Frames	$130 Allowance + 20% Off Remaining Balance	Up to $70
Frequency	Exams, Lenses and Frames Once Every 12 Months	Exams, Lenses and Frames Once Every 12 Months
Dependent Age Limit	Up to Age 26	Up to Age 26

	Per Pay Period Cost
Employee	$3.59
Employee + Spouse	$7.17
Employee + Child(ren)	$7.89
Family	$11.48

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Summary of Benefits

Group Number

946078

Provided By

SunLife

Provider Website

http://sunlife.com/us

Customer Service

Resources

Frequently Asked Questions