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.eyemedvisioncare.com.
In-Network |
Out-of-Network |
Frequency |
|
|---|---|---|---|
Routine Eye Exam |
$20 Copay |
Up to $40 |
Every 12 Months |
Frames |
$130 allowance; |
Up to $91 |
Every 24 Months |
Lenses |
Single: $25 copay |
Single: $30 copay |
Once every |
Contact Lenses |
|||
Conventional |
$130 allowance; |
$130 allowance |
Every 12 Months |
Disposable Contact Lenses |
$130 allowance |
Up to $130 |
Every 12 Months |
Medically Necessary |
Paid in Full |
Up to $210 |
Every 12 Months |
Semi-Monthly Rate |
|
|---|---|
Employee |
$2.90 |
Employee + Spouse |
$5.50 |
Employee + Child(ren) |
$5.79 |
Employee + Family |
$8.51 |
Group Number
VC-19
Provided By
EyeMed
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