Vision
EyeMed Vision Plan Highlights
- You have the freedom to choose any provider, however, as a EyeMed Vision member, you’ll receive the deepest discounts in network.
- There are no claims to file when seeing in-network providers.
- When seeing out-of-network providers you may incur additional costs subject to balance billing.
- When utilizing out-of-network providers, you will have to pay for the service in full and submit a claim for reimbursement.
When seeing out-of-network providers you may incur additional costs subject to balance billing.
EyeMed Vision Plan Details
Below is a snapshot of your total rewards.The rewards summary from the carrier will always prevail.
Benefits | In-Network | Out-Of-Network |
|---|---|---|
Eye Copay (Once every 12 months) Eye Exam Materials | $10 copay $10 copay | Plan pays up to $40 Not covered |
Eyeglass Frames (Once every 12 months) | Plan pays up to $200 plus 20% discount off amount over allowance | – |
>strong>Eyeglass Lenses (Once every 12 months) Single Bifocal Trifocal Lenticular | $10 copay $10 copay $10 copay $10 copay | Plan pays up to $30 Plan pays up to $50 Plan pays up to $70 Plan pays up to $70 |
Lens Options (Once every 12 months) Progressives Photochromic Lenses | Additional $65 copay $75 copay | Plan pays up to $50 Not covered |
Contact Lenses (Once every 12 months) Elective Medically Necessary | Plan pays up to $200 plus 15% discount off amount over allowance Covered in full | Ded., then plan pays 40% of AB* |
Lasik | 15% off retail or 5% off promo price for Lasik or PRK from U.S. Laser Network | Not Covered |
*AB is Allowed Benefit
**Fluoride Treatments only available for dependents under age 19
Vision Contributions
Weekly Contributions for Non-Exempt, Hourly Employees
The amounts are listed below on a weekly basis for non-exempt, hourly employees.
Plan | Employee | Employee + 1 | Employee + 2 or More |
|---|---|---|---|
Vision—EyeMed Vision* | $1.71 | $3.26 | $5.04 |
Bi-Weekly Contributions for Exempt, Salaried Employees
The amounts are listed below on a bi-weekly basis for exempt, salaried employees.
Plan | Employee | Employee + 1 | Employee + 2 or More |
|---|---|---|---|
Vision—EyeMed Vision* | $3.43 | $6.52 | $10.08 |