Personify Third-Party Administrator
Eskaton’s vision coverage allows you to receive vision services through any provider of your choice and submit your receipts for reimbursement.
Below is a summary of covered services and costs.
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Dental and Vision Package
Coverage | PersonifyHealth |
|---|---|
| Plan Features | In Network |
| Eye Exam | $10 copay |
| Materials | $25 copay |
| Frames (every 24 months) | $150 Allowance remaining balance |
| Lenses (every 12 months, in lieu of contacts) | |
| Single Vision | $70 copay |
| Bifocal | $90 copay |
| Trifocal | $130 copay |
| Lenticular | up to $130 |
| Contact Lenses* (every 12 months, in lieu of lenses) | |
| Conventional | Up to $105 with additional lens allowance up to $150 every 24 months |
Coverage Tier | Employee Monthly Cost | Employee Biweekly Cost |
|---|---|---|
| Employee Only | $27.00 | $13.75 |
| Employee + One Dependent | $60.00 | $30.00 |
| Employee + Family | $105.00 | $52.50 |
Vision Claim Reimbursement
Here are some tips on how to get the most from your Vision resource:
1. Make sure you get your annual eye exam. Regular exams will ensure that issues are treated early when there are cheaper and less invasive solutions.
2. Consider online stores for purchasing glasses. Stores like Warby Parker (warbyparker.com), Zenni Optical (zennioptical.com), and EyeBuyDirect (eyebuydirect.com) often offer glasses that are less expensive than at traditional eye care clinics.
3. You may want to comparison shop before you buy materials from your vision provider. Retail stores like Costco and Walmart often provide glasses and contact lenses that are less expensive than you will find at traditional vision providers.
If you plan to shop for glasses, make sure you request the pupillary distance (PD) measurement from your eye exam. This helps ensure that your glasses fit correctly the first time without needing to deal with returns.
For a more efficient and timely reimbursement of your vision benefit expenses, follow the following steps:
1. Contact your Business Service Manager for a Fillable Group Vision Claim Form
2. Complete the Vision Claim form in full, making sure to sign the form
3. Include copies of vision expense receipts
4. Send your completed Group Vision Claim Form with copies of your vision expense receipts to: Personify P.O. Box 45018, Fresno, CA 93718-5018, or FAX to: 559-499-2464
You can expect your vision claim to process within 4-6 weeks.