These vision benefits are administered by EyeMed, which has one of the largest network of providers. The network also includes the following retail chain eyecare providers: Lens Crafters, Pearl Vision, Sears, J.C. Penny, Target, Wal-Mart. For additional information or to search for providers online, please visit the EyeMed website at www.eyemedvisioncare.com.
| EyeMed Group #: 9756156 Phone #: 866-439-3633 |
In-Network | Out-of-Network |
|---|---|---|
| Frequency | Exam/Lenses: Every 12 Months Frames: Every 24 Months |
Exam/Lenses: Every 12 Months Frames: Every 24 Months |
| Co-payments | Exam: $10 Frames: $25 |
Exam: N/A Frames: N/A |
| Vision Exam | Covered in Full After Co-payment | Plan pays up to $35 |
| Frames | Covered up to $120 Allowance, 20% Off Balance Over |
Plan pays up to $60 |
Lenses
|
After Co-payment Paid in Full Paid in Full Paid in Full |
Plan pays up to $35 Plan pays up to $49 Plan pays up to $74 |
Contact Lenses (In lieu of frames and lenses)
|
Paid in Full After Co-payment Plan pays up to $135 |
Plan pays up to $200 Plan pays up to $108 |
