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Retiree Vision Care Plan |
Vision benefits are available to all employees and dependents enrolled in the group health plan, at no additional premium.
The plan is administered by EyeMed, the EyeCare Plan of America. Copays and preferred pricing apply when services are obtained from network providers. EyeMed's listing of network providers is available through their website at www.eyemedvisioncare.com  and toll-free member services # 1 (866) 723-0513.
View & Print Summary of Vision Care Benefits 
Frequently Asked
Questions
- How often may I have a vision
exam and purchase eyewear?
- How can I find out when I'm eligible
again?
- Will I ever have to pay more than
a $20 materials copay when I purchase eyeglasses
or contacts?
Will I ever have to pay more than
a $20 materials copay when I purchase eyeglasses?
- May I purchase extra features
such as scratch resistant coating or tinting?
- What is Preferred Pricing?
- Will I be able to have services
if I am out of town?
- May I purchase both eyeglasses
and contacts?
- Will my contact fitting fee be
covered?
- Do I go to an EyeMed provider if
I need eyedrops, have an eye infection or have
injured my eyes?
- What happens if I choose not
to use a network provider?
- Do I have to go to a network
provider for the LASIK procedure?
- I lost my I.D. card. How do I
obtain a new card?
How often may I have a vision exam and purchase
eyewear?
A member is entitled to a Basic Comprehensive Vision
Exam every 12 months for a $10 copay. Eyeglass lenses
and frames may be purchased every 12 months beginning
with a $20 copay. Lenses which are covered in full
by the $20 materials copay are Single Vision and
Bifocal and Trifocal. A frame which retails for
$110 or less is also covered in full by the $20
copay.
The 12-month period varies for each member, depending
on the date of the most recent service. For example,
a member who has an exam June 16 would not
be able to receive an exam again for only a $10
copay until June 17 of the following year.
How can I find out when I'm eligible again?
Call EyeMed Vision Care toll-free at 1 (866) 723-0513.
Will I ever have to pay more than a $20 materials
copay when I purchase eyeglasses?
Basic lenses are covered under the $20
copay. Basic lenses are single vision, and bifocal
and trifocal. Progressive and transitional lenses
have a higher price and the member would have to
pay the difference over the allowance at a preferred
pricing rate. The plan offers a frame allowance
up to $110 retail. If the member selects a frame
for $110 or less, the frame is covered by the $20
materials copay. If the member selects a frame over
$110, then the amount over $110 would be discounted
20%.
May I purchase extra features such as scratch
resistant coating or tinting?
Yes, at a $15 copay each.
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Will I be able to have services if I am out
of town?
Yes. EyeMed Vision Care is a nationwide program.
Call the Member Services toll-free # on your ID
card to locate a provider.
May I purchase both eyeglasses and contacts?
You may purchase either eyeglasses or contacts in
lieu of eyeglasses under the 12-month benefit. However,
if you choose to purchase both, one item will be
under the benefit and the other will be at Preferred
Pricing.
What is Preferred Pricing?
Pricing substantially below retail pricing. Applies once annual benefit has been exhausted.
Will my contact fitting fee be covered?
Yes, free of charge.
Do I go to an EyeMed provider if I need eyedrops,
have an eye infection or have injured my eyes?
No. The vision care benefit covers only
eye examinations and corrective eyewear and PRK/LASIK.
Services related to medical or surgical treatment
of eye disease or injury are not covered under EyeMed.
Contact United Healthcare.
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What happens if I choose not to use a network
provider?
An itemized claim for services from a non-network
provider may be submitted to EyeMed for reimbursement
according to the Schedule of Benefits. Mail your
claim along with a copy of your EyeMed ID card to:
EyeMed Vision Care, P.O. Box
8504, Mason, OH 45040-7111. Keep in mind
that the best benefit value is available from EyeMed
network providers.
Do I have to go to a network provider for the
LASIK procedure?
No. You may select any licensed provider; however,
a network provider will offer a discount . Submit
the itemized claim to Employee Benefits, who will
forward it on your behalf to EyeMed. There is a
maximum reimbursement of $562.50 per eye.
I lost my I.D. card. How do I obtain a new card?
Call EyeMed Member Services toll-free at 1 (866)
723-0513 or log onto their web site at www.eyemedvisioncare.com .
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