PLAN: Guardian Vision Full Feature Insurance Plan UID: Guardian Vision Plan Category: Vision Type: None Marketing Name: Guardian Full Feature Vision Plan Average Price: $24.30 Short Description: A comprehensive vision plan that covers annual eye exams, glasses or contact lenses, and offers big savings when you visit in-network providers. Long Description: The Guardian Vision Plan helps keep your eyes healthy and your vision clear with coverage for routine eye exams, prescription lenses, frames, and contacts. You'll save the most when using in-network providers, with fixed copays and generous allowances. Whether you wear glasses or contacts, the plan supports both comfort and affordability — with optional discounts on LASIK and other services. PRICING: Coverage 4: $36.83 Coverage 3: $25.35 Coverage 2: $23.50 Coverage 1: $11.53 DETAILS: COVERAGE: Exams Copay: 10 Frames - In Network: You pay 80% of the cost of the frames over $150* Frames - Out of Network: You pay (after your copay) any amount over $46 Lenticular - In Network: 0 Lenticular - Out of Network: You pay (after your copay) any amount over $64 Cosmetic Extras - In Network: You'll save an average of 20-25% off the retail price Eye Exam Covereage - In Network: 0 Cosmetic Extras - Out of Network: No out of network discounts Lined Bifocal Lenses - In Network: 0 Lined Trifocal Lenses - In Network: 0 Single Vision Lenses - In Network: 0 Eye Exam Covereage - Out of Network: Amount over $39 Contact Lense (elective) - In Network: You pay (after your copay) any amount over $150 Lined Bifocal Lenses - Out of Network: You pay (after your copay) any amount over $23 Single Vision Lenses - Out of Network: You pay (after your copay) any amount over $39 Lined Trifocal Lenses - Out of Network: You pay (after your copay) any amount over $37 Contact Lenses (elective) - Out of Network: You pay (after your copay) any amount over $100 Materials Copay (waived for contact lenses): 10 Laser Correction Surgery Discount - In Network: You'll save up to 15% off the usual charge or 5% off a promotional price Contact Lenses (medically necessary) - In Network: 0 Laser Correction Surgery Discount - Out of Network: No out of network discounts Contact Lenses (evaluation and fitting) - In Network: The plan will pay up to $60 Contact Lenses (medically necessary) - Out of Network: You pay (after your copay) any amount over $210 Contact Lenses (evaluation and fitting) - Out of Network: Not Applicable Costco, Walmart, and Sam's Club Frame Allowance- In Network: You pay (after your copay) any amount over $80 Glasses (additional pari of frames and lenses) - In Network: You'll save 20% off the retail price** Glasses (additional pari of frames and lenses) - Out of Network: No out of network discounts BASICSERVICES: Simple Extractions - In Network: 80% Simple Extractions - Out of Network: 80% Periodontal Maintenance - In Network: 80% Periodontal Maintenance - Out of Network: 80% Emergency Palliative Treatment - In Network: 80% Complete Series/ Panoramic X-Rays - In Network: 80% Emergency Palliative Treatment - Out of Network: 80% Complete Series/ Panoramic X-Rays - Out of Network: 80% Basic Restorative Services (amalgam, composite resin, acrylic, synthetic or plastic fillings) - In Network: 80% Basic Restorative Services (amalgam, composite resin, acrylic, synthetic or plastic fillings) - Out of Network: 80% MAJORSERVICES: Bridges - In Network: 50% Bridges - Out of Network: 50% Oral Surgery - In Network: 50% Bitewing X-Rays - In Network: 50% Oral Surgery - Out of Network: 50% Bitewing X-Rays - Out of Network: 50% Periodontal Surgery - In Network: 50% Inlays/Onlays/Crowns - In Network: 50% Surgical Endodontics - In Network: 50% Periodontal Surgery - Out of Network: 50% Inlays/Onlays/Crowns - Out of Network: 50% Non-Surgical Endodontics - In Network: 50% Non-Surgical Periodontal - In Network: 50% Surgical Endodontics - Out of Network: 50% Non-Surgical Endodontics - Out of Network: 50% Non-Surgical Periodontal - Out of Network: 50% Surgical Extractions and Removal of Impacted Teeth - In Network: 50% Surgical Extractions and Removal of Impacted Teeth - Out of Network: 50% Dentures – complete, partial, overdenture (upper and lower) - In Network: 50% Dentures – complete, partial, overdenture (upper and lower) - Out of Network: 50% SERVICEFREQUENCIES: Exams: Every calendar year Frames: Every calendar year Lenses (for glasses or contact lenses)***: Every calendar year Comprehensive Oral Evaluation - In Network: No limit with 12 months of exam Comprehensive Oral Evaluation - Out of Network: 100% Network Discounts (glasses and contact lens professional service): Every calendar year