| Vision Program for HMO Members with a Materials Allowance |
Your vision program includes a routine annual eye exam for you and your eligible dependents for the same cost as your office visit copayments. A referral from your primary care physician is not necessary.
You and your eligible dependents can also get one pair of eyeglasses or contact lenses every 12 or 24 months, depending on your plan design. These discounts are applied to the cost and then the amount of your materials allowance is subtracted. You only pay the remaining balance.
Please note: Benefits may vary according to plan design.
Check your Certificate of Healthcare Benefits booklet for details.
| Vision Materials |
Member Discount |
| Frames |
| |
Any available frame at EyeMed provider locations |
40% off any regular priced frames. |
| Contact Lenses |
| |
(discount applied to materials only) |
| |
Permanent |
15% discount off of usual and customary prices |
| |
Disposable |
10% discount off of usual and customary prices |
| Eyeglass Lenses |
| |
Includes single vision, bifocal, trifocal or lenticular. Includes plastic, glass or polycarbonate. |
40% off any regular priced lenses. |
| Lens Options |
| |
Examples include progressive add-on to bifocal or trifocal, tints and coatings. |
40% off usual and customary prices |
| Other Add Ons |
40% off usual and customary prices |
| Additional Discounts |
| |
Members will receive a 40% discount on all items not fully covered by the plan, excluding providers' professional services. Discounts may not be used in combination with any other discounts or promotions. Retail prices may vary by location. |
Secondary Purchase Plan
After purchasing one pair of eyeglasses or contact lenses during the materials allowance period specified by your plan design, you may wish to purchase a second pair of eyewear. Or you may purchase additional eyewear before your plan's frequency limitation renews. The Secondary Purchase Plan fulfills these desires.
You and your eligible dependents can use the Secondary Purchase discount as often as you wish.
| Vision Care Services |
Member Discount |
Examination
(with dilation as necessary) |
$5 off routine exam
$10 off contact lens exam |
| Frames |
| |
Any available frame at EyeMed provider locations |
45% off any regular priced frames up to $130, plus an additional 20% off the balance over $130
|
| Contact Lenses |
| |
(discount applied to materials only) |
| |
Permanent |
15% discount off of usual and customary prices |
| Frequency |
| |
Examination |
Unlimited |
| |
Frame |
Unlimited |
| |
Lenses |
Unlimited |
| |
Contact Lenses |
Unlimited |
| Additional Discounts |
| |
Members will receive a 20% discount on all items not fully covered by the plan, providers' professional services. Discounts may not be used in combination with any other discounts or promotions and retail prices may vary by location. |
| Vision Care Services |
Member Cost |
Plastic Lenses (per pair) |
| |
Single Vision |
$35 |
| |
Bifocal |
$55 |
| |
Trifocal |
$90 |
| |
Lenticular |
$90 |
| Lens Options |
| |
(paid by the member and added to your cost of the lenses) |
| |
Basic Polycarbonate |
$35 |
| |
Scratch-Resistance Coating |
$15 |
| |
Tint (Solid or Gradient) |
$12 |
| |
Ultraviolet Coating |
$12 |
| |
Standard Anti-Reflective Coating |
$45 |
| |
Standard Progressive
(add on to bifocal) |
$45
|
| Other Add Ons |
20% discount off of usual and customary prices |
|
