Vision
Healthy eyes and clear vision are an important part of your overall health and quality of life. You may enroll yourself and your eligible dependents or you may waive vision coverage. You do not have to be enrolled in medical coverage to elect vision coverage or cover the same dependents under medical and vision.
Although vision care services and supplies are covered in-network and out-of-network, your benefits are generally greater when you use in-network providers. Your costs are based on the family members you choose to cover.
Vision Plan
Benefit Highlights
In-Network
Exams
$10
Single Vision Lenses
Copay applies
Bifocal Lenses
Copay applies
Trifocal Lenses
Copay applies
Frames
$130 allowance, then 80% of amount over $130
Contacts (in lieu of glasses)
$130 allowance
Materials copay waived for elective contact lenses.
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 24 months
Contacts
Once every 12 months
Out-of-Network Reimbursement
Exams
$39
Single Vision Lenses
Amount over: $23
Bifocal Lenses
Amount over: $37
Trifocal Lenses
Amount over: $49
Frames
Amount over: $46
Contacts (in lieu of glasses)
Amount over: $100
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 24 months
Contacts
Once every 12 months
Plan Cost
Employee Only: $0.00
Employee and Spouse: $4.02
Employee and Child(ren): $11.24
Employee and Family: $11.24