Vision Benefits
Vision insurance offers coverage for the routine care of your eyes and may provide coverage for eyeglasses and contact lenses. You plan will pay for these services based upon the schedule below. Be sure to check your plan certificate for details.
Keep in mind that your costs will generally be lower if you choose an in-network eye-doctor. To find an in-network eye-doctor, please visit www.eyemed.com.
In-Network |
Frequency |
|
|---|---|---|
Routine Eye Exam |
Covered by health plan |
|
Frames |
$0 copay; 20% off balance over |
Once every 24 months |
Contact Lenses |
||
Conventional |
$0 copay; 15% off balance over |
Once every 12 months |
Medically Necessary |
$0 copay; paid in full |
Once every 12 months |
Standard Plastic Lenses |
||
Single Vision |
$25 copay |
Once every 12 months |
Bifocal |
$25 copay |
Once every 12 months |
Trifocal |
$25 copay |
Once every 12 months |
Lenticular |
$25 copay |
Once every 12 months |
Progressive - Standard |
$90 copay |
Once every 12 months |
Progressive - Premium Tier 1 - 3 |
$110 - 135 copay |
Once every 12 months |
Progressive - Premium Tier 4 |
$90 copay; 20% off retail price |
Once every 12 months |
Monthly Employee Rate |
|
|---|---|
Employee |
$4.49 |
Employee + Spouse |
$8.53 |
Employee + Child(ren) |
$8.98 |
Family |
$13.20 |