You have two options when it comes to caring for you and your family's eyes.
BASIC VISION
Basic Vision benefits are included in your Health Insurance. This holds true for both our PPO plan as well as our High Deductible(HDHP) plan.
- Vision screenings and examinations for prescribing glasses or for determining the refractive state of the eyes (specialty office visit co-pay for PPO plan or coinsurance after deductible is applied for HDHP)*
- One pair of eyeglasses or one contact lens per affected eye following cataract surgery
* Due to Provider Based Billing, you will be charged a facility fee in addition to any co-pay and/or coinsurance.
SUPPLEMENTAL VISION
Supplemental Vision is offered through an EyeMed package for an additional premium. You'll receive the most from this benefit when you use an in-network provider from EyeMed's large network including:
- Target Optical
- LensCrafters
- All About Eyes
- Chittick Eyecare
**Carle Health Optical, Optometry, and Ophthalmology is not included underneath the Eye Med supplemental vision and does not accept Eye Med or any other forms of insurance.
You can also purchase online from Glasses.com and Contacts Direct. For a complete list of providers near you, use the Provider Locator on eyemedvisioncare.com and choose the SELECT network or call (866) 299-1358. For LASIK Providers, call (877) 5LASER6.
This plan may be right for you if:
- You or your family members need coverage for contact lens, frames or lenses.
- You need additional coverage for diabetic vision services.
- You use another provider outside of Carle.
| IN-NETWORK | |
|---|---|
| Exams | |
| Exam with dilation | $10 Copay (one every 12 months) |
| Contact Lens Fit and Follow-Up | Standard: Up to $40; Premium: Up to 10% off retail (once every 12 months) |
| Frames (every 12 months) | |
| Any available frame at provider location | $0 Copay: $150 Allowance, 20% off balance over $150 |
| Standard plastic lenses | |
| Single Vision / Bifocal / Trifocal | $10 Copay |
| Standard Progressive Lens | $35 Copay |
| Premium Progressive Lens | $35 Copay + 80% charge less $120 allowance |
| Lens options | |
| UV Treatment | $12 Copay |
| Tint (Solid and Gradient) | $0 Copay |
| Plastic Scratch Coating | $12 Copay |
| Anti-reflective Coating | $45 |
| Photochromatic/Transitions (Adults) | 80% of retail price |
| Photochromatic/Transitions (Kids under 19) | $0 |
| Polarized | 20% off retail price |
| Contacts | |
| Conventional | $0 Copay, $120 allowance, 15% off balance over $120 |
| Disposable | $0 Copay, $120 allowance, plus balance over $120 |
| Medically Necessary | $0 Copay, paid-in-full |
2024 TEAM MEMBER SUPPLEMENTAL VISION PLAN PREMIUMS (BI-WEEKLY)
| Team Member | $4.14 |
| Family | $9.81 |