Vision
Quick Reference
Website
Call: 866-804-0982
Find a provider
Highlights
Active eligible members, spouses and dependent children up to age 26: services once per plan year (October 1 – September 30)
In-Network | |
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Exam | Plan pays 100% |
Eyeglasses (lenses and frames or contacts) | Plan pays 100% (up to $200 allowance for frames) Copayments apply for premium frames, anti-reflective coating and other features such as photosensitive lenses, high-index lenses, scratch-resistant coatings and polarized lenses |
Laser Vision Correction Surgery (LASIK) | 15% off retail or 5% off promotional price |
Out-of-Network | |
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Eyeglasses (lenses and frames) |
Exam: $40 allowance |
Details
EyeMed Safety Plan
EyeMed Dress Plan
Schedule of Benefits January, 2023
Schedule of Benefits January 2023 – Spanish
Schedule of Benefits May 2024
Schedule of Benefits May 2024 – Spanish