Healthcare

What you pay for services.

In-Network

Out-of-Network

You Pay

Reimbursement Amount

Exam options (once every 12 months)
Eye exam

$10 copay

Up to $35

Standard contact lens fitting

Up to $55

N/A

Premium contact lens fitting

10% off retail

N/A

Retinal imaging benefit

Up to $39 copay

N/A

Frames (once every 12 months)
Any available frame at provider location

$0 copay; $150 allowance; 20% off balance over $150

Up to $60

Standard plastic lenses
Single vision

$25 copay

Up to $25

Bifocal

$25 copay

Up to $40

Trifocal or lenticular

$25 copay

Up to $55

Standard progressive lens

$70 copay

Up to $40

Premium progressive lens

$70 copay; 80% of charge, less $120 allowance

Up to $40

Lens options
UV treatment or tint (solid and gradient)

$12

Up to $3

Standard plastic scratch coating

$15

N/A

Standard polycarbonate — adults and children under age 19

$35

Up to $4

Standard anti-reflective coating

$45

N/A

Polarized and other add-ons

20% off retail

N/A

Contact lenses (materials only)
Conventional

$0 copay; $130 allowance; 15% off balance over $130

Up to $110

Disposable

$0 copay; $130 allowance, plus balance over $130

Up to $110
Medically necessary $0 copay; paid in full Up to $200
Laser vision correction
LASIK or PRK from U.S. Laser Network 15% off retail price or 5% off promotional price N/A
Additional pairs benefit
Additional pairs benefit

40% discount off complete pair eyeglasses and 15% discount off conventional contact lenses once the funded benefit has been used

N/A

Purchasing both eyeglasses and contacts.

If you use the plan’s benefits to purchase eyeglasses, then you must pay for contacts on your own. If you purchase contacts using the plan’s benefit, then you will be eligible for a discount on your eyeglasses.

 

Additional discounts.

  • Check out the new hearing discounts offered through EyeMed! Click here to learn more.
  • 40% off complete pair of prescription eyeglasses after the initial benefit has been used at network providers.
  • 20% off non-prescription sunglasses at network providers.
  • 20% discount on items not covered by the plan at network providers — cannot be combined with any other discounts or promotional offers; discount does not apply to EyeMed provider’s professional services or contact lenses.
  • Log in to eyemed.com anytime to view additional special offers, like discounts on frames and lenses, savings on contacts and complimentary vision products. Offers are only valid at in-network providers and may vary or expire throughout the year.