Vision Plans
You have two options when it comes to caring for your and your family's eyes.
Basic Vision
Basic Vision benefits are included in both health plans and feature:
- Vision screenings and examinations for prescribing glasses or for determining the refractive state of the eyes (specialty office visit co-pay for PPO plan or coinsurance after deductible is applied for HDHP)*
- One pair of eyeglasses or one contact lens per affected eye following cataract surgery
*Due to Provider Based Billing, you will be charged a facility fee in addition to any co-pay and/or coinsurance.
Supplemental Vision
Supplemental Vision is offered through an EyeMed package for an additional premium. You'll receive the most from this benefit when you use an in-network provider from EyeMed's large network including:
- Target Optical
- LensCrafters
- All About Eyes
- Chittick Eyecare
You can also purchase online from Glasses.com and Contacts Direct. For a complete list of providers near you, use the Provider Locator on eyemedvisioncare.com and choose the SELECT network or call (866) 299-1358. For LASIK Providers, call (877) 5LASER6. At this time Carle providers aren't in-network through EyeMed.
This plan may be right for you if:
- you or your family members need coverage for contact lens, frames or lenses.
- you need additional coverage for diabetic vision services.
- you use another provider outside of Carle.
| IN-NETWORK |
| Exams |
| Exam with dilation |
$10 Copay (one every 12 months) |
| Contact Lens Fit and Follow-Up |
Standard: Up to $40; Premium: Up to 10% off retail
(once every 12 months) |
| Frames (every 12 months) |
| Any available frame at provider location |
$0 Copay: $150 Allowance, 20% off balance over $150 |
| Standard plastic lenses |
| Single Vision / Bifocal / Trifocal |
$10 Copay |
| Standard Progressive Lens |
$35 Copay |
| Premium Progressive Lens |
$35 Copay + 80% charge less $120 allowance |
| Lens options |
| UV Treatment |
$12 Copay |
| Tint (Solid and Gradient) |
$0 Copay |
| Plastic Scratch Coating |
$12 Copay |
| Anti-reflective Coating |
$45 |
| Photochromatic/Transitions (Adults) |
80% of retail price |
| Photochromatic/Transitions (Kids under 19) |
$0 |
| Polarized |
20% off retail price |
| Contacts |
| Conventional |
$0 Copay, $120 allowance, 15% off balance over $120 |
| Disposable |
$0 Copay, $120 allowance, plus balance over $120 |
| Medically Necessary |
$0 Copay, paid-in-full |
2023 Team Member Supplemental Vision Plan Premiums (Bi-Weekly)
| Team Member |
$4.14 |
| Family |
$9.81 |