The vision plan allows you to utilize both in-network and out-of-network providers. However, you will receive maximum value from your vision benefits when you choose network providers. If you go out-of-network, you will be reimbursed up to the plan’s out-of-network allowance.

The plan pays benefits for both in-network and out-of-network services. However, you will receive maximum value from your vision benefits when you choose network providers.

Vision Plan Overview + Contributions

Great News! There are no changes to our vision benefits for the 2023-2024 plan year!

EYEMED VISION
Vision Plan HighlightsIn-NetworkOut-of-Network
Reimbursements
Vision Exam$20 CopayUp to $30
Materials (Lenses & Frames OR Contact in Lieu of Glasses)
Lenses for Eyewear
(Once every 12 months)

Single / Bifocal / Trifocal
$20 CopayUp to
$25 / $40 / $60
Frames (Once every 12 months)
For frames that exceed your allowance, you may receive an additional 20% discount on the overage.
No Copay, up to $150 allowance, 20% discount off balance over $150Up to $75
Contact Lenses (Once every 12 months)
ConventionalNo Copay, Covered up to $180,
15% discount off overage
Up to $144
DisposableNo Copay, Covered up to $180Up to $144
Medically NecessaryNo Copay, Covered in Full
Up to $300
Dependent Age LimitTo Age 26
NOTE: This chart does not describe all covered services. Please review the plan summaries for complete coverage information.

Employee Vision Contributions (24 times per plan year)

Please review contributions carefully. There are no changes to vision plan contributions for the 2023-2024 plan year!

EYEMEDVISION
Employee$1.83
Employee + Child(ren)$3.31

TO SEARCH FOR AN EYEMED PROVIDER OR FACILITY

01/ Visit www.eyemed.com and click on “Find a Provider.”

02/ Enter your zip code and select the “INSIGHT” network

03/ Click “Get Results.”

04/ You may also call 866-804-0982.


VIEW PLAN DOCUMENTS