Vision Plan
These vision benefits are administered by EyeMed, which has one of the largest network of providers. 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 |
