Vision Benefits
Our vision coverage is available through EyeMed Vision Care. EyeMed has a broad network of independent providers including LensCrafters®, Target Optical®, JCPenney Optical® and most Pearle Vision® locations.
Find a provider near you at eyemed.com and choose the Insight network or call (866) 4-EYEMED. Reference Group Number: 1011446.
Vision Benefits
Vision Care Services
Member Cost
Out-of-Network
Exam with Dilation as Necessary:
$10 Copay
Up to $35 allowance
Exam Options:
Standard Contact Lens Fit and Follow Up
Up to $55
N/A
Premium Contact Lens Fit and Follow Up
10% off retail
N/A
Frames:
Any frame available at provider location
$0 Copay; $150 allowance, 20% off balance over $150
Up to $75 allowance
Standard Plastic Lenses:
Single Vision
$10 Copay
$25
Bifocal
$10 Copay
$40
Trifocal
$10 Copay
$55
Standard Progressive
$75 member responsibility (includes Bi-focal copay).
Up to $40 maximum Standard Progressive bi-focal benefit.
Premium Progressive
$75 member responsibility (includes Bi-focal copay); Plus 80% of Charges less $150 Allowance.
Up to $40 maximum Premium Progressive bi-focal benefit.
Lens Options:
UV Coating
$15
N/A
Tint (Solid and Gradient)
$15
N/A
Standard Scratch-Resistance
$0
N/A
Standard Polycarbonate
$40
N/A
Standard Anti-Reflective
$45
N/A
Other Add-Ons and Services
20% off retail price
N/A
Contact Lenses: (Discount applies to materials only)
Conventional
$0 Copay; $150 allowance, 15% off balance over $150
Up to $120
Disposable
$0 Copay; $150 allowance, plus balance over $150
Up to $120
Medically Necessary
$0 Copay, paid-in-full
$200
Laser Vision Correction: (1-877-5LASER6)
Lasik or PRK from U.S. Laser Network
15% off retail price – or – 5% off promotional price
N/A
Frequency:
Examination
Once every 12 months
Frame
Once every 12 months
Lenses or Contact Lenses
Once every 12 months