VISION

Guardian	Network Providers	Non-Network Providers
Routine Eye Exam (Once/year)	Covered in full	Up to $39 allowance
Eyeglass Frames (One pair/year)	$0 Copay $130 Allowance +20% off balance	Up to $46 allowance
Eyeglass Lenses	Instead of contacts – Once every calendar year
Single Lenses	Covered in full	Up to $23 allowance
Bifocal Lenses	Covered in full	Up to $37 allowance
Trifocal Lenses	Covered in full	Up to $49allowance
Contact Lenses (Instead of eyeglasses)	Covered in full	—
Elective conventional	Up to $130 allowance	Up to $100 allowance
Non-elective (Medically necessary)	Covered in full	Up to $210 allowance

Resources

Guardian Vision Benefit Summary

Vision Insurance

Additional Savings

Choice plans offer 20% off any additional pairs of glasses purchased within 12 months of the exam.Members also receive 20% off the amount exceeding the copay and allowance on frames purchased as well as 15% off providers’ professional services for prescription contact lenses. These discounts only apply to services from an in-network provider.

Members who use a VSP contracted laser center may save an average of 10% -20% off, or 5% off a promotional offer on PRK, LASIK, Custom LASIK, Custom PRK and Bladeless LASIK.

Visit eyeconic.com to view your in-network benefits.

To find more information about in-network providers and additional discounts, visit guardianlife.com