Vision Plan

The vision plan provides coverage for routine eye exams and pays for all or a portion of the cost of glasses or contact lenses. You can choose any provider; however, you always save money if you see in-network providers. We offer two vision plan choices through UnitedHealthcare.

Vision ID Cards

There are NO physical ID cards for our vision plan.
To use your benefits, advise your vision provider that you have coverage through United Healthcare Vision (UHC Vision) and provide your SSN.
If you need to contact UHC Vision, please call 1.800.638.3120.

RESOURCES

Low Plan – Summary

High Plan – Summary

How To Get A Vision ID Card

Plan Provisions	High Plan	Low Plan
Exam	$10 copay	$15 copay
Materials	$10 copay	$30 copay
Frames	$130 allowance plus 30% off balance over $130	$130 allowance plus 30% off balance over $130
Lenses • Single Vision Lenses • Bifocal Lenses • Trifocal Lenses • Lenticular Lenses	Covered at 100% Covered at 100% Covered at 100% Covered at 100%	Covered at 100% Covered at 100% Covered at 100% Covered at 100%
Elective Contact Lenses • Covered Formulary Contacts* • Non-Formulary Contacts* • Medically Necessary Contact Lenses	Up to 4 boxes Up to $105 Covered at 100%	Up to 4 boxes Up to $105 Covered at 100%
Frequency • Exam • Lenses • Frames • Contact Lenses	Every 12 months Every 12 months Every 12 months Every 12 months	Every 12 months Every 12 months Every 24 months Every 12 months

*If a member chooses an in-network provider they’ll receive 4 boxes of contacts. However, if the provider is non-network they have an allowance of $105.

Vision	Employee Cost Per Pay	Employee Cost Per Month	Full Invoiced Amount Per Month
LowPlan
Employee Only	$1.99	$4.31	$4.31
Employee + Family	$4.98	$10.78	$10.78
High Plan
Employee Only	$2.68	$5.81	$5.81
Employee + Family	$6.71	$14.53	$14.53