Vision Coverage
Get the most from your vision benefits.Need glasses or contacts? The Vision Plan can help.
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What the Plan Covers
EyeMed Vision You Pay: |
EyeMed Vision Plan Pays Up To: |
In-Network | Out-of-Network |
Exams (Once every 12 months) | |
$15 copay | $40 |
Glasses1 | |
Single Vision Lenses | |
$20 copay | $25 |
Bifocal Lenses | |
$20 copay | $40 |
Trifocal Lenses | |
$20 copay | $65 |
Standard Progresive Lenses | |
$20 copay | $55 |
Premium Progresive Lenses | |
$20 copay, then anything over $120 you receive a 20% discount | $65 |
Lens Options | |
UV Treatment, Tint (Solid and Gradient), Standard Plastic Scratch Coating | |
$0 | $8 |
Standard Polycarbonate — Adults and kids under 19 | |
$0 | $20 |
Standard Anti-Reflective Coating | |
$45 copay | N/A |
Polarized | |
20% off retail price | N/A |
Other Add-Ons | |
20% off retail price | N/A |
Frames1 | |
$0 Copay; $130 Allowance (you receive a 20% discount on amount over $130) | $65 |
Conventional and Disposable Contact Lenses1 | |
$0 Copay; $130 Allowance (you receive a 20% discount on amount over $130) | $104 |
Medically Necessary | |
$0 | $200 |
Contacts – Fittings | |
Standard | |
$0 | $40 |
Premium | |
$0 Copay; $55 Allowance (you receive a 20% discount on amount over $55) | $40 |
LASIK/PRK Procedures | |
You receive a 15% discount on usual and customary fees at LCA-Vision locations or a 5% discount on promotional pricing, whichever is greater | You receive a 15% discount on usual and customary fees at LCA-Vision locations or a 5% discount on promotional pricing, whichever is greater |
1. Lenses or contacts once every 12 months. Frames once every 12 months.
What the Plan Costs (Biweekly)
You – $3.30
You + Spouse/Domestic Partner 1 – $6.24
You + Child(ren) – $6.60
You + Family – $8.62