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Get the free $100 Eyewear Benefit

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The document outlines the benefits and coverage details of the AmeriHealth $100 HMO/POS Vision Rider program, including eyewear options, participating providers, additional services, and frequently
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How to fill out 100 eyewear benefit

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How to fill out $100 Eyewear Benefit

01
Obtain the $100 Eyewear Benefit form from your HR department or benefits portal.
02
Fill in your personal information including your name, employee ID, and contact details.
03
Indicate the type of eyewear you are purchasing - glasses or contact lenses.
04
Attach a copy of the receipt for your eyewear purchase that shows the amount spent.
05
Specify the date of purchase and ensure it falls within the eligible benefit period.
06
Review the completed form for accuracy and completeness.
07
Submit the form and receipt to the designated benefits coordinator or email it to the benefits department.

Who needs $100 Eyewear Benefit?

01
Employees who wear prescription eyewear or contact lenses.
02
Individuals looking to upgrade their eyewear for vision correction.
03
Eligible staff seeking assistance with eyewear costs to maintain their vision health.
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The $100 Eyewear Benefit is a financial allowance provided to eligible individuals, allowing them to offset the costs associated with purchasing eyewear, such as prescription glasses or contact lenses.
Eligible employees or members of a benefits program who wish to claim the eyewear benefit are required to file the $100 Eyewear Benefit.
To fill out the $100 Eyewear Benefit, individuals must complete the designated form provided by their benefits provider, ensuring they include personal details, itemized eyewear receipts, and any other required documentation.
The purpose of the $100 Eyewear Benefit is to assist individuals in covering part of the expenses related to necessary eyewear, promoting better vision care and health.
The information that must be reported includes the individual's personal identification details, the total cost of the eyewear purchased, proof of purchase (receipts), and any other relevant information as specified by the benefits provider.
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