Vision Plan Details
The EyeMed vision plan covers eye exams, lenses, and frames or contact lenses. It also covers special services like enhanced diagnostic testing for patients with Type I and Type II diabetes, retinal imaging benefits, and more frequent eye exams for children under age 19. You’ll generally pay less when you use in-network providers when you need care.
| Vision | In-Network | |
|---|---|---|
| Exams | $10 copay | |
| Lenses Single vision, lined bifocal, lined trifocal, lenticular. | $25 copay Includes: ultraviolet coating; polycarbonate lenses for dependent children. | |
| Lens Enhancements Standard progressive and pink I & II tints included at no additional cost. | Premium progressive: $95-$105 copay Custom progressive: $150-$175 copay Standard polycarbonate: single up to $31 copay, multifocal up to $35 copay Scratch resistance coating: up to $17-$33 copay Tints: solid plastic $15 copay, plastic gradient dye $17 copay Anti-reflective coating: up to $41-$85 copay Photochromic: up to $47-$82 copay Blue light filtering: up to $15 copay | |
| Frame | $170 allowance for a wide selection of frames $190 allowance for featured frame brands 20% savings on the amount over your allowance $90 Costco allowance | |
| Contacts (instead of glasses) | $170 allowance Up to $60 copay (fitting and evaluation) | |
| Frequencies | ||
| Exams | 1 per 12 months | |
| Lenses or Contacts | 1 per 12 months | |
| Frames | 1 per 24 months | |
Vision Cost of Coverage
| Employee Contributions (Bi Weekly 24 per yr) | ||
|---|---|---|
| Vision Plan | ||
| Employee | $5.10 | |
| Employee & Spouse | $9.08 | |
| Employee & Child(ren) | $8.91 | |
| Employee & Spouse & Child(ren) (Family) | $14.37 | |
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