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 |
