Review Your Vision Plan

Your vision health is an important part of complete wellness. Your vision plan is designed to give you and your covered family members the care, value and service to help maintain good vision and overall health. The vision plan is administered by EyeMed and leverages the EyeMed Insight provider network. Child(ren)'s eligibility for vision coverage is from birth up to age 30.

In-Network

Out-of-Network

Vision Exam Services1

$10 copay

Covered up to $40

Retinal Imaging1

Covered up to $39

Not covered

Prescription Lenses2

(single vision / lined bifocal / lined trifocal)

$10 copay

Covered up to $30 / $50 / $70

Progressive Lenses2

(standard / premium / custom)

$10 copay / $95-$225

Covered up to $50

Frames2,3

$150 allowance;  20% off any amount over $150

Covered up to $75

Contact Lenses2

(conventional / disposable / medically necessary)

$150 allowance; 15% off any amount over $150 / $150 allowance / Covered 100%

Covered up to $75/$75/$300

In-Network

Out-of-Network

Vision Exam Services1

$10 copay

Covered up to $40

Retinal Imaging1

Covered up to $39

Not covered

Prescription Lenses2

(single vision / lined bifocal / lined trifocal)

$10 copay

Covered up to $30 / $50 / $70

Progressive Lenses2

(standard / premium / custom)

$10 copay / $95-$225

Covered up to $50

Frames2,3

$150 allowance;  20% off any amount over $150

Covered up to $75

Contact Lenses2

(conventional / disposable / medically necessary)

$150 allowance, then 15% off / Covered up to $150 / Covered 100%

Covered up to $75/$75/$300

1. If you have diabetes, your EyeMed vision care coverage includes covered-in-full medical follow-up eye examination, fundus photography examination, extended ophthalmoscopy (initial and subsequent), gonioscopy and scanning laser services with an in-network provider once every 6 months.
2. The plan will not cover both glasses frames/lenses and contact lenses in the same year.
3. Glasses frame benefit may be used once every 24 months; all other vision benefits are available for use once every 12 months.

More Information

EyeMed

Policy/Group: 1056986
Call: 866-939-3633
Website: eyemed.com/member

Learn More

All About Vision Plans

General information about Vision Insurance and how to select the best plan for your life.

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The Benefits Service Center is made available to you through the HRConnect Self-Service Portal, providing support from dedicated professionals committed to helping you understand the benefit options available to you. Whether you have questions about your benefit plans, concerns about coverage, or just need guidance on which medical plan is right for you and your family, connect with the Benefits Service Center.

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