Vision
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!
Vision Plan Highlights | In-Network | Out-of-Network Reimbursements |
Vision Exam | $20 Copay | Up to $30 |
Materials (Lenses & Frames OR Contact in Lieu of Glasses) | ||
Lenses for Eyewear (Once every 12 months) Single / Bifocal / Trifocal | $20 Copay | Up 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 $150 | Up to $75 |
Contact Lenses (Once every 12 months) | ||
Conventional | No Copay, Covered up to $180, 15% discount off overage | Up to $144 |
Disposable | No Copay, Covered up to $180 | Up to $144 |
Medically Necessary | No Copay, Covered in Full | Up to $300 |
Dependent Age Limit | To 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!
Employee | $1.83 |
Employee + Child(ren) | $3.31 |