The Eye Benefits plan is NOT insurance, a health insurance policy, or a Medicare Prescription Drug Plan. The plan provides discounts for certain medical services, pharmaceutical supplies, prescription drugs, or medical equipment and supplies offered by providers who have agreed to participate in the Plan. The range of discounts for medical, pharmacy, or ancillary services offered under the Plan will vary depending on the type of provider and products or services received. The Plan does not make and is prohibited from making members’ payments to providers for products or services received under the Plan. The member is required and obligated to pay for all discounted prescription drugs, medical and pharmaceutical supplies, services, and equipment received under the Plan, but will receive a discount on certain identified medical, pharmaceutical supplies, prescription drugs, medical equipment, and supplies from providers in the Plan. The Discount Medical Plan/Discount Plan Organization is Protective Marketing Enterprises, Inc., 5005 LBJ Freeway, Suite 1500, Dallas, TX 75244. You may call (855) 428-7411 or visit FindVisionProviders.com for more information. The Plan will make available before purchase and upon request, a list of program providers and the providers’ city, state, and specialty, located in the member’s service area. The fees for the plan are specified in the membership agreement. You may cancel The Plan at any time. The plan includes a 30-day cancellation provision. This plan is not available AK, CT, MT, RI, UT, VT, & WA.

    

Arkansas Residents: A refund of all fees will be issued if membership is cancelled within the first 30 days.

   

Massachusetts Residents: The plan is not insurance coverage and does not meet the minimum creditable coverage requirements under M.G.L. c. 111M and 956 CMR 5.00.

    

Florida Residents: Member shall receive a full refund of membership fees, excluding registration fee, if membership is cancelled within the first 30 days after receipt of the membership card.

   

Louisiana Residents: Member shall receive a full refund of membership fees, excluding registration fee, if membership is cancelled within the first 30 days after receipt of the membership card.

   

Maryland Residents: The membership fee and one-time registration fee (minus $5.00) will be refunded if cancelled within the first 30 days and upon return of the discount card.

   

Mississippi Residents: Member shall receive a full refund of membership fees, excluding registration fee, if membership is cancelled within the first 30 days after receipt of the membership card.

   

North Dakota Residents: Member shall receive a full refund of membership fees, excluding registration fee, if membership is cancelled within the first 30 days after receipt of the membership card.

   

Oklahoma Residents: Member shall receive a full refund of membership fees, excluding registration fee, if membership is cancelled within the first 30 days after receipt of the membership card.

   

Rhode Island Residents: Member shall receive a full refund of membership fees, excluding registration fee, if membership is cancelled within the first 30 days after receipt of the membership card.

   

South Carolina Residents: Member shall receive a full refund of membership fees, excluding registration fee, if membership is cancelled within the first 30 days after receipt of the membership card.

   

South Dakota Residents: Member shall receive a full refund of membership fees, excluding registration fee, if membership is cancelled within the first 30 days after receipt of the membership card.

   

Tennessee Residents: A refund of all fees will be issued if membership is cancelled within the first 30 days.

   

Texas Residents: Member shall receive a full refund of membership fees, excluding registration fee, if membership is cancelled within the first 30 days after receipt of the membership card.

   

Utah Residents: Member shall receive a full refund of membership fees, excluding registration fee, if membership is cancelled within the first 30 days after receipt of the membership card.

   

Washington Residents If a member cancels his or her membership in the discount plan organization within the first thirty days after the date of receipt of the written documents for the discount plan, the member must receive a reimbursement of all periodic charges upon return of the discount plan card to the discount plan organization.

    

Disclosures: The Eye Benefits plan is NOT insurance, a health insurance policy, or a Medicare Prescription Drug Plan. The plan provides discounts for certain medical services, pharmaceutical supplies, prescription drugs, or medical equipment and supplies offered by providers who have agreed to participate in the Plan. The range of discounts for medical, pharmacy, or ancillary services offered under the Plan will vary depending on the type of provider and products or services received. The Plan does not make and is prohibited from making members’ payments to providers for products or services received under the Plan. The member is required and obligated to pay for all discounted prescription drugs, medical and pharmaceutical supplies, services, and equipment received under the Plan, but will receive a discount on certain identified medical, pharmaceutical supplies, prescription drugs, medical equipment, and supplies from providers in the Plan. The Discount Medical Plan/Discount Plan Organization is Protective Marketing Enterprises, Inc., 5005 LBJ Freeway, Suite 1500, Dallas, TX 75244. You may call (855) 428-7411 or visit FindVisionProviders.com for more information. The Plan will make available before purchase and upon request, a list of program providers and the providers’ city, state, and specialty, located in the member’s service area. The fees for the plan are specified in the membership agreement. You may cancel The Plan at any time. The plan includes a 30-day cancellation provision.

Note to MA consumers: The plan is not insurance coverage and does not meet the minimum creditable coverage requirements under M.G.L. c. 111M and 956 CMR 5.00. FL, LA, MS, ND, OK, RI, SC, UT, SD and TX residents: Member shall receive a full refund of membership fees, excluding registration fee, if membership is cancelled within the first 30 days after receipt of the membership card. AR and TN residents: A refund of all fees will be issued if membership is cancelled within the first 30 days. MD Residents: The membership fee and one-time registration fee (minus $5.00) will be refunded if cancelled within the first 30 days and upon return of the discount card. LA residents: If a member cancels his membership within the first thirty days after the date of receipt of the written document, the member shall receive a reimbursement of all periodic charges and the amount of any one-time processing fee that exceeds thirty dollars. If you cancel after thirty days for any reason other than nonpayment, the plan will make a pro-rata reimbursement of all periodic charges. This plan is not available in AK, CT, MT, RI, UT, VT, & WA.