Unified Fire Authority
Vision Benefits
Administered by EyeMed Network - Insight
Regular eye examinations can not only determine your need for corrective eyewear but also may detect general health problems in their earliest stages . Protection for the eyes should be a major concern to everyone . Members that choose Plus Providers enjoy additional benefit perks . You can find in network eye doctors – including PLUS Providers – on the Provider Locator at eyemed . com .
In-Network Member Cost At Plus Providers
In-Network ( Member Cost )
Out-of-Network ( Reimbursement )
Eye Exam — once every 12 months $ 0 copay $ 10 copay Up to $ 40 allowance Frames
Any available frame at provider location . Lenses
$ 0 copay : 20 % off balance over $ 180 allowance
$ 0 copay ; 20 % off balance over $ 130 allowance
Up to $ 91 allowance
Single Vision Lenses $ 25 copay $ 25 copay Up to $ 30 allowance Bifocal Lenses $ 25 copay $ 25 copay Up to $ 50 allowance Trifocal Lenses $ 25 copay $ 25 copay Up to $ 70 allowance Lens Options UV Coating $ 15 $ 15 N / A Tint ( Solid and Gradient ) $ 15 $ 15 N / A Standard Plastic Scratch Coating $ 15 $ 15 N / A Standard Polycarbonate $ 40 $ 40 N / A Standard Anti-Reflective $ 45 $ 45 N / A Contacts
Conventional
Disposable
$ 0 copay : 15 % off balance over $ 130 allowance
$ 0 copay : 100 % of balance over $ 130 allowance
$ 0 copay ; 15 % off balance over $ 130 allowance
$ 0 copay ; 100 % of balance over $ 130 allowance
Up to $ 130 allowance
Up to $ 130 allowance
Medically Necessary $ 0 copay ; paid in full $ 0 copay ; paid in full Up to $ 300 allowance Frequency Examination Frames Lenses or Contact Lenses
For Lasik providers , call 1.877.5LASER6
Once every 12 months Once every 12 months Once every 12 months
21