Vision Plans
You have two options when it comes to caring for you and your family.
Basic Vision
Basic Vision benefits are included in both health plans and feature:
- Vision screenings and examinations only at Carle Eye Department for prescribing glasses or for determining the refractive state of the eyes (specialty office visit copay for PPO plan or coinsurance after deductible is applied for HDHP)*
*Due to provider based billing, you will be charged a facility fee in addition to any copay and/or coinsurance.
Voluntary Vision
Voluntary Vision is offered through an EyeMed package for an additional premium. You'll receive the most from this benefit when using a PLUS provider from EyeMed's large network including:
- Target Optical
- LensCrafters
- Vision Point Eye Center
- Chittick Eyecare
- Bloomington Eye Professionals
- Illinois Eye Center
- Focus on Eyes
- Olney Eye Care
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 INSIGHT network. For LASIK providers, call (877) 5LASER6. At this time Carle Health 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 Health.
| VISION CARE SERVICES |
IN NETWORK TEAM MEMBER COST |
OUT-OF NETWORK REIMBURSEMENT |
| Exams (every 12 months) |
| Exam with dilation at PLUS Providers |
$0 copay |
Up to $40 |
| Exam with dilation |
$10 copay |
Up to $40 |
| Retinal Imaging |
Up to $39 |
|
| Contact Lens Fit and Follow-Up Standard < age 19 |
$0 copay |
Up to $32 |
| Contact Lens Fit and Follow Premium < age 19 |
$0 copay, 10% off retail price, then apply $40 |
Up to $32 |
| Frames (every 12 months) |
| Any any available frame at PLUS Providers |
$0 copay; 20% off balance over $200 allowance |
Up to $45 |
| Frame |
$0 copay; 20% off balance over $150 allowance |
Up to $45 |
| Standard plastic lenses (in lieu of contacts once every calendar year). |
| Single Vision |
$10 copay |
Up to $40 |
| Bifocal |
$10 copay |
Up to $60 |
| Trifocal/ Lenticular |
$10 copay |
Up to $80 |
| Progressive Lens- Standard |
$35 Copay |
Up to $60 |
| Progressive Lens- Premium Tier I, II or III |
$55, $65 or $80 copay |
Up to $60 |
| Progressive Lens- Premium Tier IV |
$225 copay |
Up to $60 |
| Lens options |
| UV Treatment |
$12 copay |
Up to $5 |
| Tint (Solid or Gradient) |
$0 copay |
Up to $5 |
| Standard Plastic Scratch Coating |
$12 copay |
Up to $5 |
| Anti-reflective Coating- Standard |
$45 copay |
Up to $5 |
| Anti-reflective Coating- Premium Tier I, II or III |
$57, $68 or $100 copay |
Up to $5 |
| Photochromic - Non-Glass |
$0 copay |
Up to $5 |
| Polycarbonate- Standard |
$30 copay |
Up to $5 |
| All other lens options |
20% off retail price |
|
| Contact Lenses |
| Conventional at PLUS Providers |
$0 copay, 15% off balance over $170 allowance |
Up to $90 |
| Conventional |
$0 copay; 15% off balance over $120 allowance |
Up to $90 |
| Disposable at PLUS Providers |
$0 copay, 100% of balance over $170 allowance |
Up to $90 |
| Disposable |
$0 copay; 100% of balance over $120 allowance |
Up to $90 |
| Medically Necessary |
$0 copay, paid in full |
Up to $200 |
Additional discounts above the plan benefits include:
- 40% off additional pairs of glasses
- 20% off any item not covered by the plan including non-prescription sunglasses
- 15% off retail price or 5% off promotional price for LASIK or PRK from US Laser Network
- Up to 66% off hearing aids, with an extended warranty and free batteries through Ampifon Hearing Health Care Network.
2025 Team Member Voluntary Vision Plan Premiums (Bi-Weekly, 24 pay periods)
| Team Member |
$4.13 |
| Family |
$9.79 |