The UH Voluntary Vision Plan provides benefit allowances toward the cost of either prescription eyeglasses (lenses and frames) or contact lenses. In 2011, vision care services are available through any Anthem Blue View 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 enroll in vision, you can choose “participant”, “participant + 1” or “participant + 2 or more” coverage. You pay the full cost of coverage on a pre-tax basis. Your contributions for coverage are deducted semi-monthly. |
New Administrator
for 2012
EyeMed Vision Care will administer the vision plan beginning January 1, 2012. The way the plan works is not changing.
Employees who enroll in vision coverage for 2012 will receive new ID cards from EyeMed. |
|
How the Vision Plan Works Simply show your vision ID card at any participating retail location for coverage on 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.
| Eye Exams |
Not covered |
| Standard Lenses … once every 12 months |
| Single visions lenses |
100%, no copay |
Up to $40 |
| Bifocal lenses (pair) |
100%, no copay |
Up to $60 |
| Progressive lenses (standard pair) |
100%, after $65 copay |
Up to $60 |
| Trifocal lenses (pair) |
100%, no copay |
Up to $80 |
| Frames … once every 12 months2 |
| |
100% up to $120 retail value, no copay3 |
Up to $45 |
| Contact lenses4 … once every 12 months2 |
| Elective contact lenses (instead of frame and lens benefits) |
Conventional
contact lenses5 |
100% up to $120 retail value, no copay;
15% discount on amount over $120 |
Up to $105 |
Disposable
contact lenses5 |
100% up to $120 retail value, no copay |
Up to $105 |
| Non-elective contact lenses |
100%, no copay |
Up to $210 |
Note: Fitting fees are not covered
1 Represents plan’s allowance towards eligible benefits and may not cover all charges.
2 From last date of service.
3 Maximum allowable amount is for frames purchased from a participating provider. Insured person receives 20% off balance over plan allowance.
4See Certificate of Insurance (Certificate) for definitions of elective and non-elective contact lenses.
5 If the insured person chooses conventional contact lenses greater than the plan allowance, the insured person will receive a 15% discount toward the difference. If the insured person chooses disposable lenses greater than the plan allowance, the insured person is responsible for the balance. |
