The Health Care Plan pays reasonable and customary charges incurred for eligible expenses.
You pay the remaining cost.
Expenses with a maximum reimbursable amount
will be paid at 100%.
Read what limitations and exclusions apply to this coverage:
|Artificial Eyes and Replacements
Including replacement of existing eye, no earlier
- 60 months after the last purchase, for covered
persons over age 21, or
- 12 months after the last purchase, for spouse or children under age 21
||By a licensed optometrist. One examination for each covered person in each two-year calendar period|
|Eyeglasses and Contact Lenses needed to correct vision, prescribed by an ophthalmologist or optometrist, and repairs
||Maximum reimbursable expense of $2251 for each two-year calendar period |
|Eyeglasses or Contact Lenses (initial purchase) required as the direct result of surgery or an accident
||Must be purchased within six months of such surgery or accident, or as soon as is reasonably possible, in Sun Life’s opinion|
|Laser Eye Surgery
||Can be claimed against the same maximum reimbursable expense of $2251 as eyeglasses and contact lenses in subsequent two-year calendar period (under the regular Health Care Plan) until the full cost has been claimed.|
1 All expenses with a maximum reimbursable amount will be paid at 100% coinsurance.
Published on February 01, 2016