Vision Benefit Summary - PepsiCo my Health Hub

Vision
Your Options
• EyeMed Vision Care Plan
• Waive coverage
If your provider is a member of the EyeMed network, you can
receive your vision care services and supplies at discounted
rates. The EyeMed network includes more than 40,000 providers
and approximately 18,000 locations, including private practice
providers and retail chains.
Here’s a quick overview of the EyeMed Vision Care Plan.
Plan Feature
Network
Out-of-Network
Eye exam
(One per person per year)
Plan pays 100%
Plan pays up to $50
Frames1
(One pair every 12 mos.)
Plan pays $60, plus 20% of the
retail price over $60; you pay
the rest
Plan pays up to $36 per pair
Standard eyeglass lenses1
(One pair every 12 mos.)
• Plan pays 100% for single,
bifocal, lenticular or trifocal
lenses
• You pay $65 for standard
progressive lenses; the Plan
pays the rest
Plan pays up to $36 per pair
Contact lenses1
•C
onventional
(One pair every 12 mos.)
• Plan pays $100, plus 15% of
the retail price over $100;
you pay the rest
Plan pays up to $100
• Disposable
• Plan pays up to $100
Plan pays up to $100
Laser vision correction discount
(LASIK or PRK through U.S. Laser
Network only)
You pay 85% of retail price2
Not covered
1
EyeMed covers one pair of eyeglass lenses or contact lenses every 12 months, but not both.
2
Discount only – not a covered benefit.
Considering EyeMed?
Figure out how much you spend on vision care each year, then compare the amount to the benefits
you receive from EyeMed and the price tag. Members have access to private practice providers or
retail chains, including the nation’s top optical retailers, such as LensCrafters, Target Optical, Sears
Optical, JCPenney Optical and most Pearle Vision locations.
Vision Discounts – No Enrollment Required
Discounts at all LensCrafters are available to you at no charge as a PepsiCo employee. There is no
need to elect this benefit. Show your Company identification, such as your ID card or a pay stub,
and save 15% on conventional contact lenses and 20% on eyeglasses (not including eye exams).
For a list of participating providers, go to eyemedvisioncare.com
and under Locate a Provider select the Access network. Or use the
provider search tool on Your Benefits Resources.