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 |
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|
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Any available frame at provider location.
$ 0 copay: 20 % off balance over $ 180 allowance
$ 0 copay; 20 % off balance over $ 130 allowance
Up to $ 91 allowance
Lenses 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 |
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|
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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 |
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Once every 12 months |
|
Frames |
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Once every 12 months |
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Lenses or Contact Lenses |
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Once every 12 months |
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For Lasik providers, call 877.5LASER6
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