Vision

Even if you have 20/20 vision, an annual eye exam checks the health of your eyes and can detect other health issues. If you need glasses or contacts, EyeMed vision coverage helps with the cost.

You can see any eye care provider, but your benefits are greater with an EyeMed network provider. Out of network, you pay the provider and submit a claim for reimbursement up to the amounts shown.

Visit eyemedvisioncare.com for extra savings, such as discounts on LASIK and PRK and rebates on contact lenses.

EyeMed Vision Plan

Benefit Highlights
In-Network

Eye Exam
$10 copay

Frames
$0 copay; $130 allowance, then 20% off the balance

Standard Plastic Lenses

Single Vision, Bifocal, Trifocal or Lenticular
$20 copay

Progressive, Standard
$75 copay

Progressive, Premium Tiers 1–3
$105–$130 copay

Progressive, Premium Tier 4
$195 copay

Lens Options

Anti-Reflective Coating
$45 (standard)
$57–$85 (premium)

Photochromic (non-glass)
$75

Polycarbonate (standard)
$40

Scratch Coating, Tint or UV Treatment
$15 each

All Other Lens Options
20% off retail

Contacts (Instead of Glasses)

Conventional
$0 copay; $120 allowance, then 15% off the balance

Disposable
$0 copay; $120 allowance

Medically Necessary
Paid in full

Frequency

Exam, Lenses, Frames and Contacts
Once every 12 months

Out-of-Network Reimbursement

Eye Exam
Up to $40 reimbursed

Frames
Up to $91 reimbursed

Standard Plastic Lenses

Single Vision
Up to $40 reimbursed

Bifocal
Up to $60 reimbursed

Trifocal or Lenticular
Up to $80 reimbursed

Progressive (All Tiers)
Up to $80 reimbursed

Lens Options

Anti-Reflective Coating
Up to $5 reimbursed

Other Lens Options
Not covered

Contacts (Instead of Glasses)

Conventional or Disposable
Up to $91 reimbursed

Medically Necessary
Up to $300 reimbursed

Frequency

Exam, Lenses, Frames and Contacts
Once every 12 months

Extra Savings

Hearing Care (Amplifon Network)
Up to 64% off hearing aids. Call 877-203-0675.

LASIK or PRK (U.S. Laser Network)
15% off retail or 5% off promotional price. Call 800-988-4221.

Plan Cost

Your cost per semi-monthly paycheck (24 per year):

Coverage Cost
Employee Only $3.51
Employee and Spouse $6.70
Employee and Child(ren) $7.05
Employee and Family $10.22
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