| Advantage Plus Monthly Rates |
|
Lenses: Single Vision, Bifocal & Trifocal
covered in full after $10 copay
Frame: $50 Wholesale frame allowance
is equivalent to approximately $100 - $150
retail frame value
Contact Lenses: $130 allowance
(includes fitting and professional fees)
|
Plan A (12/12/12) |
Employer Paid |
Voluntary |
Employee Only |
$6.96 |
$9.33 |
Employee + Spouse |
$12.18 |
$17.63 |
Employee + Children |
$14.62 |
$19.22 |
Employee + Family |
$18.10 |
$24.72 |
| |
|
|
Plan B (12/24/12) |
Employer Paid |
Voluntary |
Employee Only |
$5.95 |
$7.99 |
Employee + Spouse |
$10.41 |
$15.10 |
Employee + Children |
$12.50 |
$19.46 |
Employee + Family |
$15.47 |
$21.17 |
| Advantage Enhanced
Monthly Rates |
|
Lenses: Single Vision, Bifocal & Trifocal
covered in full after $10 copay
Frame: $35 Wholesale frame allowance
is equivalent to approximately $75 - $100
retail frame value
Contact Lenses: $110 allowance
(includes fitting and professional fees)
|
Plan A (12/12/12) |
Employer Paid |
Voluntary |
Employee Only |
$6.05 |
$8.12 |
Employee + Spouse |
$10.59 |
$15.35 |
Employee + Children |
$12.71 |
$16.73 |
Employee + Family |
$15.73 |
$21.52 |
| |
|
|
Plan B (12/24/12) |
Employer Paid |
Voluntary |
Employee Only |
$5.16 |
$6.95 |
Employee + Spouse |
$9.03 |
$13.14 |
Employee + Children |
$10.84 |
$14.32 |
Employee + Family |
$13.42 |
$18.42 |

| |
- Fully
Insured, comprehensive coverage for all your
clients’ vision care needs
- Arizona’s
largest Network of vision care providers
- Independent
optometrists, ophthalmologists, and
Brand-name, retail chain optometrists
- Voluntary and Employer Paid
- Can
attach to Group and Individual medical plan
- Affordable
Premiums
- Group
size down to 2 employees
- Electronic
billing and eligibility management
- 24
month rate guarantees
|
|

|
|
Avesis Incorporated
Underwritten
by Fidelity Security Life Insurance Company
3130 Broadway, Kansas City, Missouri 64111. Domicile: Missouri
NAIC no. 71870
Authorized to transact insurance in all states except New
York. 9004VC(BCBS)
|
phone: (602)
864-5230 fax: (602) 864-5240
Email:
information@csaaz.com
Mail
Requests: CSA General Insurance Agency, Inc. 8155 N. 24th Avenue,
Suite F Phoenix, AZ 85021 |