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The UH Vision Plan provides benefit allowances toward the cost of either prescription eyeglasses (lenses and frames) or contact lenses.  A routine vision exam, including contact lens fitting, is available with an EyeMed provider when you enroll in the Voluntary Vision Plan.

Vision care services are available through any EyeMed vision provider. You can use non-participating providers, but you reduce your out-of-pocket expenses by using a participating provider. You can enroll in the vision plan even if you do not enroll in a UH medical plan.

When you receive services at a participating EyeMed Network Provider, the provider will file your claim.  You will only have to pay the cost of any services or eyewear that exceeds any allowances, and any applicable co-payments.

When you enroll in vision, you pay the full cost of coverage on a pre-tax basis. Your contributions for coverage are deducted semi-monthly.

Summary of Vision Care Services

Simply show your vision ID card at any participating retail location for coverage on exams, frames and lenses, or any participating provider for coverage on contact lenses. Please note that you can get coverage for either glasses or contact lenses in a plan year, but not both.

Covered Services Your In-Network Cost Your Out-of-Network Reimbursement*
Exam $0 co-pay Up to $35
Retinal Imaging Up to $39 N/A
Exam Options – Contact Lenses    
Standard Fit and Follow-Up
Up to $55 N/A
Premium Fit and Follow-Up
90% of retail price N/A
Frames $0 copay, plus
80% of balance over $150
Up to $45
Standard Plastic Lenses      
Single Vision
$0 copay Up to $40
Bifocal
$0 copay Up to $60
Trifocal
$0 copay Up to $80
Standard Progressive
$65 copay Up to $60
Premium Progressive
$85 - $110 Up to $60
Other Premium Progressive
$65, 80% of charge less
$150 allowance
Up to $60
Standard Lens Options    
UV coating
$15 N/A
Tint (solid and gradient)
$15 N/A
Standard scratch resistance
$0 $8
Standard polycarbonate – Adults
$40 N/A
Standard polycarbonate – Kids Under 19
$0 Up to $20
Standard anti-reflective coating
$45 N/A
Polarized 
80% of retail price N/A
Photocromatic / Transitions Plastic
$0 $38
All Other add-ons and services
80% of retail price N/A
Contact Lenses**  

Conventional

$0 copay,
plus 85% of balance over $150

Up to $105

 Disposable
$0 copay,
plus 100% of balance over $150

Up to $105

Medically necessary 
$0 (paid in full by Plan)

Up to $210

Frequency  - based Calendar year

Exam

Once every calendar year

Once every calendar year

 Lenses or Contact Lenses
Once every calendar year

Once every calendar year

Frames
Once every calendar year

Once every calendar year

* You are responsible to pay the out-of-network provider in full at time of service and then submit an out-of-network claim for reimbursement. You will be reimbursed up to the amount shown on the chart.

** For prescription contact lenses for only one eye, the Plan will pay one-half of the amount payable for contact lenses for both eyes.

Additional Discounts

Under the Plan, you may receive benefits for eyeglass frames, eyeglass lenses or contact lenses as outlined on the Summary of Vision Care Services. In addition, EyeMed provides an in-network discount on products and services once your in-network benefits for the applicable benefit period have been used. The in-network discounts are as follows:

  • 40% off a complete pair of eyeglasses (including prescription sunglasses)
  • 15% off conventional contact lenses
  • 20% off items not covered by the Plan at network providers

 

Locating a Provider

To locate EyeMed Vision Care providers near you, visit www.eyemed.com and choose the Access Network. You may also call EyeMed’s Customer Care Center at 1-866-723-0513. EyeMed’s Customer Care Center can be reached Monday through Saturday 7:30 am to 11:00 pm EST and Sunday 11:00 am to 8:00 EST.