Vision

Healthy eyes and clear vision are an important part of your overall health and quality of life. You may enroll yourself and your eligible dependents or you may waive vision coverage. You do not have to be enrolled in medical coverage to elect vision coverage or cover the same dependents under medical and vision.

Although vision care services and supplies are covered in-network and out-of-network, your benefits are generally greater when you use in-network providers. Your costs are based on the family members you choose to cover.

Vision Plan

Benefit Highlights
In-Network

Exams
$10 copay

Single Vision Lenses
No charge after materials copay

Bifocal Lenses
No charge after materials copay

Trifocal Lenses
No charge after materials copay

Frames
$25 copay

Contacts (in lieu of glasses)
$150 Allowance

Frequency

Exams
Once every 12 months

Lenses
Once every 12 months

Frames
Once every 12 months

Contacts
Once every 12 months

Out-of-Network Reimbursement

Exams
Plan pays to $45

Single Vision Lenses
Plan pays to $30

Bifocal Lenses
Plan pays to $50

Trifocal Lenses
Plan pays to $65

Frames
Plan pays to $70

Contacts (in lieu of glasses)
Plan pays up to $105

Frequency

Exams
Once every 12 months

Lenses
Once every 12 months

Frames
Once every 14 months

Contacts
Once every 12 months

Plan Cost

Employee Only: $0

Employee and Spouse: $0

Employee and Child(ren): $0

Employee and Family: $0

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