Vision Benefits

Vision insurance offers coverage for the routine care of your eyes and may provide coverage for eyeglasses and contact lenses. Your plan will pay for these services based upon the schedule below. Be sure to check your plan certificate for details.

Keep in mind that your costs will generally be lower if you choose an in-network eye-doctor. To find an in-network eye-doctor, please visit www.guardiananytime.com.

Guardian Vision Benefits	In-Network	Out-of-Network	Frequency
Exam	$10 Copay	Up to $50	Once every 12 months
Frames	$130 allowance	Up to $48	Once every 12 months
Lenses Single Vision Bifocal Trifocal Lenticular	$25 Copay $25 Copay $25 Copay $25 Copay	Up to $48 Up to $67 Up to $86 Up to $126	Once every 12 months
Contacts (in lieu of frames)	$130 allowance	Up to $105	Once every 12 months
Dependent Age Limit	To age 26

Per 24 Pay Period Cost	Employee	Employer
Employee	$3.37	$0.00
Employee + Spouse	$6.38	$0.00
Employee + Child(ren)	$6.49	$0.00
Family	$10.28	$0.00

Downloads

Summary of Benefits

Summary of Benefits-Spanish

Group Number

00072874

Provided By

Guardian

Provider Website

https://microsite.davisvision.com/guardian/

Customer Service

800.627.4200

Resources

Frequently Asked Questions