Your 2022 plan doesn’t include vision coverage, but that doesn’t mean you have to go without. Adding vision benefits to your plan is simple. All you have to do is choose one of two levels of coverage (read more about those below), fill out the enrollment form and send it in.

Additional pairs benefit: members also receive a 40% discount off complete pair eyeglass purchases and a 15% discount off conventional contact lenses once the funded benefit has been used.

  EyeMed - Medium (in-network) EyeMed - High (in-network)
Exam with dilation, as necessary $15 copay $10 copay
Fundus photography benefit Up to $39 Up to $39
Exam options:  
Standard contact lens fit and follow-up Up to $40 Up to $40
Premium contact lens fit and follow-up 10% off retail price 10% off retail price
Frames: any available frame at provider location $0 copay
$150 allowance
20% off balance over $150
$0 copay
$200 allowance
20% off balance over $200
Standard plastic lenses  
Single vision $25 copay $20 copay
Bifocal $25 copay $20 copay
Trifocal $25 copay $20 copay
Lenticular $25 copay $20 copay
Standard progressive lens $90 copay $85 copay
Premium progressive lens $90 copay
80% of charge less $120 allowance
$85 copay
80% of charge less $120 allowance
Lens options:
UV treatment tint (solid and gradient) $15 $15
Standard plastic scratch coating $15 $15
Standard polycarbonate - adults $0 copay $0 copay
Standard polycarbonate - kids under 19 $0 copay $0 copay
Standard anti-reflective coating $0 copay $0 copay
Premium anti-reflective coating $45 $45
Other add-ons 80% of charge
20% off retail price
80% of charge
20% off retail price
Contact Lenses
Conventional $0 copay
$150 allowance
15% off balance over $150
$0 copay
$200 allowance
15% off balance over $200
Disposable $0 copay
$150 allowance
15% off balance over $150
$0 copay
$200 allowance
15% off balance over $200
Medically Necessary $0 copay, paid-in-full $0 copay, paid-in-full
Laser vision correction
Lasik or PRK from U.S. Laser Network 15% off retail price or 5% off promotion price 15% off retail price or 5% off promotion price

*Member Reimbursement Out-of-Network will be the lesser of the listed amount or the member’s actual cost from the out-of-network provider. In certain states members may be required to pay the full retail rate and not the negotiated discount rate with certain participating providers.