Your Vision Plan Options

The Medical Mutual Vision Plan offers two plan designs to meet your eye care needs. • The Essential Plan is an eye care plan that covers the basics of healthy vision. The plan includes a comprehensive eye exam and benefits for a basic pair of prescription glasses or contact lenses. • The Enhanced Plan includes all the benefits of the Essential Plan and offers higher allowances to cover the cost of your glasses or contact lenses.

Both plans offer services at retail and independent optometrists. Some retail providers include LensCrafters®, Pearle VisionSM and Target Optical. Out-of-network services are available; however, you will receive the best benefit if you stay in the Insight Network of providers.

Member Cost (In-Network)

VISION CARE SERVICES ESSENTIAL PLAN ENHANCED PLAN

Exam with dilation Frames

$0 Copay (every rolling 12 months) Every 24 mos. Every 12 mos. $0 copay, $130 allowance $0 copay, $160 allowance

Standard plastic lenses Single vision Bifocal $25 copay $25 copay

Trifocal

$25 copay Standard progressive lens $90 copay Contact lenses In lieu of lenses and frames $10 copay $10 copay $10 copay $10 copay

Conventional

Disposable

Additional pairs benefit $0 copay, $130 allowance, 20% off balance over $130 $0 copay, $160 allowance, 20% off balance over $160

$0 copay, $130 allowance, plus balance over $130

$0 copay, $160 allowance, plus balance over $160 40% off complete pair eyeglass purchases and 20% off conventional contact lenses once the funded benefit has been used DID YOU KNOW ...

You can access your ID card and available benefits at MedMutual.com? You can also access this information through their mobile app.