Fort McDowell

Please complete the survey to acknowledge your participation in the first alert regarding Fort McDowell Yavapai Nation's Policy.

Name


A red asterisk (*) indicates required questions.


  1. I have read and understand the uniqueness surrounding the Fort McDowell Policy.*
    Yes
    No


  1. The vision portion of the policy is through EyeMed.*
    True
    False


  1. There is either a $200 or $500 calendar year maximum on the vision policy. What services will not apply to that maximum?*
    Exams and Frames
    Exams Only
    Frames and Lenses
    Exams and Lenses
    Lenses Only


  1. For Tribal plans, the exam and lenses are covered in full once every 12 months from the date of service. The maximum is used for frames and contacts, which do not have a frequency. Lens options are available and paid under the plan.*
    True
    False


  1. The member can have multiple policies for themselves and for dependents and will always be covered on all of them.*
    True
    False


  1. For Non-Tribal plans, the exam and lenses are covered in full once every 12 months from the date of service. The maximum is used for frames and contacts, which do not have a frequency. Lens options receive a discount if they visit an EyeMed provider only and are out of pocket expenses.*
    True
    False




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