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Costco No Longer In-Network Vision Provider for Glasses and Contacts on May 1

Costco store locations will be out-of-network for optical materials effective May 1, 2008. This contract affects all Costco locations throughout the country and is based on a business model change made by Costco.

The doctors at Costco will remain in-network, but purchases of glasses and contacts at these locations will no longer be considered in-network after May 1, 2008. In order to best serve our members, a transition period will allow Spectera members to continue to receive network benefits on glasses or contacts purchased at Costco from May 1, 2008 through July 31, 2008.

Members who purchase materials (glasses or contacts) at Costco from May 1 through July 31, 2008, will need to pay in full at the time of purchase and then submit a Costco claim for reimbursement. (See below for claim form.) For member convenience, Costco will have the custom claim form available at their stores during this transition period. A Costco claim form can also be downloaded from Spectera’s website, www.Spectera.com, or requested from the Customer Service Department at 1-800-638-3120. Members submitting the Costco claim form with their receipt will be reimbursed on an in-network level for purchases during this transition period.

Starting August 1, 2008, materials purchased at Costco stores will be handled as an out-of-network benefit and reimbursed based upon our out-of-network reimbursement schedule. Please keep in mind that if vision members choose to purchase eyewear from a Costco location, they must have a valid Costco membership card.

The good news is that Spectera vision members will continue to receive in-network benefits for comprehensive exams that are performed in the optical departments at Costco after the transition period ends. Please note that Spectera vision members can receive an eye exam from a participating doctor at Costco even if the member does not have a Costco membership.

Beginning August 1, 2008 all purchases made at Costco Optical Centers will be reimbursed based upon our out-of-network reimbursement schedule. Reimbursement will be applicable only to those eligible for benefits.

Costco Claim Form for Reimbursement

When submitting receipts for reimbursement for Costco (or any out-of-network provider), you will need the following on each page of your receipt:

· Member’s name and ID number*
· Patient’s name and date of birth

*NOTE: Your Spectera member ID is a 9-digit number consisting of your employee number with 4 or five leading zeros, depending on your ID. Ex. 000002222 or 000019999.

Send your out-of-network receipts to: Spectera, Inc, PO Box 30978,Salt Lake City, UT 84130.

If you have any questions, please contact Spectera at 1-800-638-3120 or Employee Benefits at 480-644-3329.