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Vision Benefits



UnitedHealthcare Eye Exams


UnitedHealthcare – Wellness Benefit Eye Exams

Annual eye exams are covered under the UnitedHealthcare medical plan for participating employees and their eligible dependents as follows:

UnitedHealthcare PPO Plan

If you participate in the PPO300 or PPO600, a routine annual eye exam is a covered benefit. You may select any eye doctor within the UnitedHealthcare PPO network and after paying an office visit copay, 100% of the routine annual vision exam will be applied towards your $350 Wellness Benefit.

Remember, only your routine annual eye exam is covered. This benefit does not include the purchase of hardware such as glasses, contacts, etc. or the cost for measuring or fitting of hardware such as glasses, contacts, etc.

UnitedHealthcare EPO Plan

Employees and dependents enrolled in the EPO must use a UnitedHealthcare eye doctor within the EPO network for their routine annual eye exam to be covered under the plan. Referrals from your PCP are not required. When you visit an EPO network vision provider, you pay an office visit copay and the balance of your vision exam is covered at 100%.

Remember, only your routine annual eye exam is covered. This benefit does not include the purchase of hardware such as glasses, contacts, etc. or the cost for measuring or fitting of hardware such as glasses, contacts, etc.

EyeMed Vision Care

Enterprise employees and their eligible dependents can enroll for this voluntary benefit and employee premiums will be payroll deducted as follows:

Employee Only $2.32/biweekly
Employee + One $4.36/biweekly
Employee + Two or more $6.40 /biweekly

(If you are in a group that is paid weekly, please contact your Group/Region HR or payroll department for weekly vision premium rates.)

To locate a provider near you, call EyeMed at 800-841-1220 to speak with an EyeMed customer service representative or visit www.enrollwitheyemed.com and click on the "www.enrollwitheyemed.com link for the Plus Network of Providers."

If you enroll for vision benefits, you will receive an ID card from EyeMed Vision Care. Always carry your ID card and present it to the vision care provider when receiving care.

Also, once you have enrolled with EyeMed, you will want to register on the secured site at www.eyemedvisioncare.com to view your personal vision care benefit information.

EyeMed Vision Care's network of providers includes private practicing optometrists, ophthalmologists, opticians, and many retail chains, including the nation's leading optical retailer, LensCrafters®. A description of your vision care benefit is available below:

Vision Care Services Member Cost Out-of-Network
Reimbursement
Exam with Dilation as Necessary $10 Copay Up to $35
Frames: $100 Allowance; 80% of balance over $100 Up to $45
Standard Plastic Lenses:
Single Vision
$10 Copay Up to $25
Bifocal $10 Copay Up to $40
Trifocal $10 Copay Up to $55
Lenticular $10 Copay Up to $55
Lens Options
(paid by the member and added to the base price of the lens):
Tint
(solid and gradient)
$12 N/A
UV Coating $12 N/A
Standard Scratch-Resistance $15 N/A
Standard Polycarbonate $35 N/A
Standard Anti-Reflective $45 N/A
Standard Progressive
(Add-on to Bifocal)
$45 N/A
Other Add-Ons and Services 20% off retail price N/A
Contact Lenses
(includes fit, follow-up and materials; in lieu of Standard Plastic Lenses):
Conventional $115 Allowance; 15% off balance over $115 Up to $100
Disposables $115 Allowance; balance over $115 Up to $100
Medically Necessary $250 Allowance; balance over $250 Up to $200
LASIK and PRK Vision Correction Procedures 15% off retail price OR 5% off promotional pricing N/A
Frequency:
Exams
Once every 12 months
Frames Once every 24 months
One of the following:
Standard Plastic Lenses; OR Contact Lenses
Once every 12 months
  Note: The UnitedHealthcare, Delta Dental and Express Scripts benefits described on this site DO NOT APPLY to Hawaii employees. Go here for Hawaii Health and Wellness.

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LASIK and PRK Benefit
EyeMed is pleased to provide all EyeMed Vision Care members with a laser vision correction benefit. EyeMed and LCA-Vision have arranged to provide this benefit to all EyeMed Vision Care members through the U.S. Laser Network. Members are entitled to a 15% discount on the usual and customary fees for LASIK and PRK procedures, or a 5% discount on any promotional pricing, whichever is the greater benefit. One easy phone call to 1-877-5LASER6 begins the process of using your benefit. No claim forms are needed, making it a hassle free process for members.

Continued Eyewear Savings
Your EyeMed benefit also provides for continued savings through our Premier Plus Secondary Purchase Plan. After your initial benefits have been utilized, you are able to receive ongoing discounts on additional eyewear purchases at EyeMed provider locations, which result in discounts up to 45% off the retail price of eyewear and accessories. See your EyeMed provider for details.

Contact Lens By Mail Program
You may order replacement contact lenses for competitive prices via the internet, and have the contacts mailed directly to your home. The service is for replacement contact lenses only, and your core benefit allowance or discount will not apply to the service. Your initial pair of contact lenses must still be purchased from your eye care provider to ensure proper fit and follow-up care. Simply visit www.eyemedvisioncare.com for details, and a link to the order site.

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Picture of Success
Forms, Resources and Web Sites
Questions and Answers

Claim Problem Resolution Request Form (PDF)

Notice Of Privacy (PDF)

These forms require the use of Adobe Acrobat Reader®. Download it for FREE!

Contact EyeMed Vision Care at
800-841-1220
Related Information: