Vision Program for HMO Members without 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 use the vision care services and discounts below as often as you wish.
Please Note: Benefits may vary according to plan design. Check your Certificate of Healthcare Benefits booklet for details.
| Vision Care Services | Member Discount |
|---|---|
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 |
| Disposable | 10% discount off of usual and customary prices |
Frequency |
|
| Frame | Unlimited |
| Lenses | Unlimited |
| Contact Lenses | Unlimited |
Additional Discounts |
|
| Members will receive a 20% 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. | |
| 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 |
