,A Superior Vision Our Members. Our Mission.

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1 ,A Superior Vision Our Members. Our Mission. Online Contact Lens Ordering SV Contacts Powefe4 AriiI:Vr4q1,t :S DAii E S Home* Reorder 0 Accessories 41 Shipping/Tracking -Nor Help!Q Shopping Cart!If Select Your Lenses: Contact Lens List a Contact Lens Types Daily Disposable 1-2 Week Disposable 1-3 Month Disposable Conventional (Vial) Toric Oxygen Permeable Colored and Tinted Bifocal Contact Lens Brands Bausch & Lomb Boston Ciba Vision Use Your Benefits to Order Contact Lenses Online! Contact lenses delivered direct to your door! Now you can use your Vision Benefits to buy contact lenses online! We stock all major brands and types of contact lenses including Acuvue, Focus, Freshlook, Durasoft, Preference and more. Its easy to get your contacts delivered direct to your door, fast! Every lens is shipped in safe, sealed containers and is guaranteed to be the exact lens prescribed by your doctor, only without the retail prices! Cooper Vision Johnson & Johnson Proclear This service is offered exclusively to Superior Vision members, as a valueadded service, in conjunction with Arlington Lens Supply. Vistakon /11 Superior Vision. Most Popular Contact Lenses,IpT ex. Focus DAILIES ACUVUE Advance Air Optix Night & Day Soflens 66 Toric available at or Superior Vision Services, Inc Corporate Headquarters: White Rock Road, Suite 150, Rancho Cordova, CA SVS-SALT0-0132v002 04/2010

2 xf A c irtanriener ti se I (NI,* V 1311%311 I Ibirmalb Our Members. Our Mission. The Imrtnrfa n ta wpm LLI.111,, of Routine Eye s Many consider vision to be their most valued sense. And it is said that 80% of the sensory information that our brain receives comes in through our eyes. Yet, many are unaware of the relationship between overall health and routine eye exams. An eye exam is a comprehensive vision analysis and a gateway for learning about a person's overall health. Routine eye exams have many benefits: Preventive Tool for Overall Health We need to take care of our eyes like we take care of our bodies and teeth; care should be preventive, not reactive. Many simple vision problems go undiagnosed problems that could be detected by an eye exam. People don't need to live with inadequate vision, such as seeing objects in the distance or up close, general eye strain, blurry vision, headaches, etc. Alert for Systemic Disease and Eye Conditions Many health problems can be diagnosed through a comprehensive eye exam. Early detection can help lessen some of the long-term effects and help preserve vision. Systemic diseases, health conditions, and eye disorders that may be identified and diagnosed are: Cancer Diabetes High blood pressure High cholesterol Cataracts Glaucoma Macular degeneration Retinal detachment Provide Education to Improve Activities of Daily Living An eye health professional can provide solutions for symptoms you may now or soon be experiencing, and even aid in the potential diagnosis of behavioral problems particularly in children. They may also educate you on the effects of basic external influences, like your nutrition and vitamin intake. Such education or solutions may help with: Computer Vision Syndrome UV protection of corneas and retinas ADD and ADHD misdiagnoses Eye safety awareness Reducing the impact of glare on your eyes Understanding the effect of standard medications on eyesight Su enot Vision Services, Inc Corporate Headquarters: White Rock Road, Suite 150, Rancho Cordova, CA SVS-MKG v001 04/2009

3 Co-Pays Superior Vision... Our Members. Our Mission.. Vision Plan Benefits for Harlingen CISD You may choose from two plans: Low Plan, or High Plan Materials' Plan 1 Low Plan $10 $25 $35 Co-Pays Plan 2 High Plan $10 Materials' $25 $25 Monthly Premiums Emp. Only $5.60 Emp. + 1 dependent $10.90 Emp. + family $15.10 Monthly Premiums Emp. Only $7.70 Emp. + 1 dependent $14.20 Emp. + family $19.20 Services/Frequency Frames Lenses Contact Lenses 24 months Services/Frequency Frames Lenses Contact Lenses Benefits In-Network Out-of- Network (MD) Covered in full Up to $42 (OD) Covered in full Up to $37 Frames $100 retail allowance Up to $48 (standard 2) Covered in full Not covered (specialty 2) $50 retail allowance Not covered Lenses (standard) per pair Single Vision Covered in full Up to $32 Bifocal Covered in full Up to $46 Trifocal Covered in full Up to $61 Progressive lens upgrade See description 3 Up to $61 Contact Lenses 4 $100 retail allowance Up to $100 In-Network Out-of-Network Covered in full Up to $42 Covered in full Up to $37 $130 retail allowance Up to $68 Covered in full Not covered $50 retail allowance Not covered Covered in full Up to $2 Covered in full Up to $46 Covered in full Up to $61 See description 3 Up to $61 $120 retail allowance Up to $100 Co-pays apply to in-network benefits; co-pays for out-of-network visits are deducted from reimbursements 1 Materials co-pay applies to lenses and frames only, not contact lenses 2 See your benefits materials for definitions of standard and specialty contact lens fittings 3 Covered to provider's in-office standard retail lined trifocal amount; member pays difference between progressive and standard retail lined trifocal, plus applicable co-pay Contact lenses are in lieu of eyeglass lenses and frames benefit Discount Features Look for providers in the Provider Directory who accept discounts, as some do not; please verify their services and discounts (range from 10%-40%) prior to service as they vary. Discounts on Covered Materials Frames: Lens options: Progressives: 20% off amount over allowance 20% off retail 20% off amount over retail lined trifocal lens, including lens options The following options have out-of-pocket maximums 5 on standard (not premium, brand, or progressive) lenses. Maximum Member Out-of-Pocket Single Vision Bifocal & Trifocal Scratch coat $13 $13 Ultraviolet coat $15 $15 Tints, solid or gradients $25 $25 Anti-reflective coat $50 $50 Polycarbonate $40 20% off retail High index 1.6 $55 20% off retail Photochromics $80 20% off retail 5 Discounts and maximums may vary by lens type. Please check with your provider. Discounts on Non-Covered and Materials s, frames, and prescription lenses: 30% off retail Lens options, contacts, other prescription materials: 20% off retail Disposable contact lenses: 10% off retail Refractive Surgery Superior Vision has a nationwide network of refractive surgeons and leading LASIK networks who offer members a discount. These discounts range from 5%-50%, and are the best possible discounts available to Superior Vision. The Plan discount features are not insurance. All allowances are retail; the member is responsible for paying the provider directly for all non-covered items and/or any amount over the allowances, minus available discounts. These are not covered by the plan. Discounts are subject to change without notice. Disclaimer: All final determinations of benefits, administrative duties, and definitions are governed by the Certificate of Insurance for your vision plan. Please check with your Human Resources department if you have any questions. The Superior Superior Vision Services, Inc. P.O. Box 967 Rancho Cordova, CA Vision Plan is underwritten by National Guardian Life Insurance Company. National Guardian Life Insurance Company is not affiliated with The Guardian Life Insurance Company of America, AKA The Guardian or Guardian Life NVIGRP BSv2/TX

4 .. Superior Vision...-. Our Members. Our Mission. Getting Started Guide Member Portal Your member portal gives you quick access to your vision benefits information. Member account information is shared by all covered family dependents; family members may log in as the primary member. Logging In You can access the member portal by visiting our website at I.; Superior Vision. New User Account Argo Up From the home page, select the "Members & Future Members" link. From the member home page, click the "Secure Login" button. Click on "New User". The New User Account screen will let you create your own username and password for the secure area of the site. You will have immediate access. For all subsequent visits, enter your login information to access the member portal. Key Functions Within the secure area, you will have access to key functions for using your benefits: Locate a provider View your benefits coverage Request and print ID cards Manage your Web user account Download forms Contact Customer Service Overview. of NANA. Hoye to Ulm Wow Pomo. Peed MA Gettlwg SPA.. FAQ Par* Providor Corrtart la ht Ws LASIC pew * Art:Wwwwwwwt CI* Post L 04,..113 ===11111 IP Vow Amount V Ornooloyd Fawns Superior Vision 0., lionwen Ow Mourn Welcome to Superior Vision Services Welcome Valued Members Superior Vision provides primary vision care benefits including eye examinations, prescnption eyewear, and contact lenses through a broad-based provider network consisting of ophthalmologists and optometrists. The Plan also contracts with a large number of national and regional optometric chain locations. This secure member portal enables you to view the specifics of your benefits coverage, print additional ID cards for your family members, download helpful forms, and get access to our SrnartAlert My View, LKeslyle Liedate form. Superior Vision's SmartAlert is a tool to facilitate interaction between you, your eyecare provider, and your primary care physician or specialist regarding your comprehensive eye exam. Routme eye exams are not Just for getting a prescription; eye exams can lead to early diagnosis and appropriate treatment of eye diseases and other physical disorders. ANNUM mama I ItalwaerIALRdemose I mg. Owe Loa.. Center I Site Inform., I CAW.. 05 e Copyright Soppier wrier. serwror. Inc NI Agh4 litoserrett. Customer Service Monday Friday 5:00 AM to 6:00 PM PST Saturday 8:00 AM to 1:30 PM PST Superior Vision Services, Inc Corporate Headquarters: White Rock Road, Rancho Cordova, CA SVS-SAL v003 02/2012

5 ,. A CI 11^1/2111 0,114 I/ IC1,11"1 1' , I JLAII.J1 WI V I Our Members. Our Mission. Unparalleled Provider Network Finding In-Network.- Providers Superior Vision has one of the nations largest provider networks, consisting of ophthalmologists and optometrists. We also have most national and regional optical chain locations, including Wal-Mart Vision Center, Target Optical, LensCrafters, Sam's Club Optical, Sears Optical, and many others. Finding the right eye care provider for you within our network is easy. Superior Vision* ou, lbs. Visible Difference rn Managed Vision Care. Asa, M1e for raraged enon care by adh ermg to a singular guiding precipla Hue oce mambo, ochealtiolagt Su snw el en is proud to /VW our 1. Login to Click on "Locate a Provider". Member Hume Standard Provider Search Indicates required fields. Ran souse Voir Benefit. Locate a Peaviar Italrnbuivernant Clan Fenn Zipcode: Distance: 751:. miles c, vencag S.arc. Contact tape into LAM Info Educational Not all providers are contracted for all services. Provider nomination requests may be made through your employer. 2. Enter your zip code and select the mile radius in which you would like the search to take place. Click "Search". You may also choose "Advanced Search" to find a specific provider by name, practice, or city. Linda Ching OD Drs. Kam & Ching 2248 Sunrise Blvd. Rancho Cordova CA (915) Lori Kam OD Drs. Kenn & Ching 2248 Sunrise Blvd. Rancho Cordova CA (916) View Address Map Distances less than 1mile 1-11 Services Offeredi Glasses I Contacts I Contact Lenz Fi g I Accept; Discounts EXarn Services Offered: Glasses I Contacts I I I Accepts Discounts View Address Mao Distance: less than lintle Services Offered: Glasses I Contacts I I I Accepts Discounts 3. Review the list of eye care providers, and choose a provider. Make sure to review Services Offered and the provider's acceptance of discounts. 4. You may also call Customer Service at Not all providers at each office or optical store location are network providers, so make sure to verify provider participation before you schedule your appointment. We look forward to providing you with Superior service. Superior Vision Services, Inc Corporate Headquarters: White Rock Road, Suite 150, Rancho Cordova, CA SVS-SAL v003 11/2010