Vision Benefits
Vision Benefits
Vision benefits help cover eye exams, lenses, contacts and frames.
Vision Premiums
| Coverage Tier | Semi-monthly Contribution |
|---|---|
| Employee Only | $3.54 |
| Employee + Spouse | $6.12 |
| Employee + Child(ren) | $6.78 |
| Employee + Family | $7.19 |
Employee Only
- Semi-monthly Contribution
- $3.54
Employee + Spouse
- Semi-monthly Contribution
- $6.12
Employee + Child(ren)
- Semi-monthly Contribution
- $6.78
Employee + Family
- Semi-monthly Contribution
- $7.19
Benefit Frequency
| Service | Frequency |
|---|---|
| Eye exam | Once every 12 months |
| Lenses | Once every 12 months |
| Contacts | Once every 12 months |
| Frames | Once every 24 months |
Eye exam
- Frequency
- Once every 12 months
Lenses
- Frequency
- Once every 12 months
Contacts
- Frequency
- Once every 12 months
Frames
- Frequency
- Once every 24 months
Vision Coverage Details
| Service | IN-NETWORK | OUT-OF-NETWORK REIMBURSEMENT |
|---|---|---|
| Exams - Copay | $10 Copay | Up to $45 |
| Lenses - Single Vision | Covered in full after $25 Copay | Up to $30 |
| Lenses - Bifocal | Covered in full after $25 Copay | Up to $50 |
| Lenses - Trifocal | Covered in full after $25 Copay | Up to $60 |
| Lenses - Lenticular | Covered in full after $25 Copay | Up to $75 |
| Contacts (In Lieu Of Lenses And Frames) - Fitting And Evaluation | Up to $60 | Not covered |
| Contacts (In Lieu Of Lenses And Frames) - Elective | $150 Allowance | $89 - $104 |
| Contacts (In Lieu Of Lenses And Frames) - Medically Necessary | Covered in full | Up to $210 |
| Frames - Allowance* | $150 Allowance (20% off balance) | Up to $58 |
Exams - Copay
- IN-NETWORK
- $10 Copay
- OUT-OF-NETWORK REIMBURSEMENT
- Up to $45
Lenses - Single Vision
- IN-NETWORK
- Covered in full after $25 Copay
- OUT-OF-NETWORK REIMBURSEMENT
- Up to $30
Lenses - Bifocal
- IN-NETWORK
- Covered in full after $25 Copay
- OUT-OF-NETWORK REIMBURSEMENT
- Up to $50
Lenses - Trifocal
- IN-NETWORK
- Covered in full after $25 Copay
- OUT-OF-NETWORK REIMBURSEMENT
- Up to $60
Lenses - Lenticular
- IN-NETWORK
- Covered in full after $25 Copay
- OUT-OF-NETWORK REIMBURSEMENT
- Up to $75
Contacts (In Lieu Of Lenses And Frames) - Fitting And Evaluation
- IN-NETWORK
- Up to $60
- OUT-OF-NETWORK REIMBURSEMENT
- Not covered
Contacts (In Lieu Of Lenses And Frames) - Elective
- IN-NETWORK
- $150 Allowance
- OUT-OF-NETWORK REIMBURSEMENT
- $89 - $104
Contacts (In Lieu Of Lenses And Frames) - Medically Necessary
- IN-NETWORK
- Covered in full
- OUT-OF-NETWORK REIMBURSEMENT
- Up to $210
Frames - Allowance*
- IN-NETWORK
- $150 Allowance (20% off balance)
- OUT-OF-NETWORK REIMBURSEMENT
- Up to $58
- *$150 Walmart/Sam’s Club/Costco frame allowance
Important Notes
- Vision premium contributions are deducted from your paycheck on a pre-tax basis.
- Early detection of vision conditions like diabetic retinopathy leads to more effective treatment and cost savings.