Vision
Vision Plan – EyeMed Insight Network
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 https://eyedoclocator.eyemedvisioncare.com.
In-Network |
Out-of-Network |
Benefit Frequency |
|
|---|---|---|---|
Routine Eye Exam |
$10 Copay |
Up to $37 Allowance |
Once every 12 months |
Lenses |
Once every 12 months |
||
Single Vision |
$10 Copay |
Up to $32 Allowance |
|
Lined Bifocal |
$10 Copay |
Up to $48 Allowance |
|
Lined Trifocal |
$10 Copay |
Up to $76 Allowance |
|
Lenticular |
$10 Copay |
Up to $76 Allowance |
|
Frames |
$150 Allowance |
Up to $66 Allowance |
Once every 24 months |
Contact Lenses |
Once every 12 months |
||
Conventional |
$150 Allowance 15% off balance over allowance |
Up to $102 Allowance |
|
Disposable |
$150 Allowance |
Up to $120 Allowance |
|
Medically Necessary |
Paid in Full |
Up to $210 Allowance |
|
Dependent Age Limit |
26 |
26 |
Weekly Cost |
|
|---|---|
Employee |
$1.51 |
Employee + Spouse |
$2.80 |
Employee + Child(ren) |
$2.80 |
Family |
$4.65 |