Vision Options

See which vision benefits our individual plans cover and what benefits you can get by buying additional coverage.

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Dental Coverage

What You Get with Your Plan

Under the Affordable Care Act, any member 18 years and under gets vision care at no extra cost. Adults who are 19 and older are covered for a yearly eye exam.

Plans Adult Vision Exam
once every 12 months
Pediatric Vision Exam
once every 12 months
Pediatric Vision Materials*
includes frames and lenses, or contacts once every 12 months
  Preferred Provider Non-Preferred Provider Preferred Provider Non-Preferred Provider Preferred Provider Non-Preferred Provider
HMO 3800 Elite Bronze
HMO 4000d Elite Bronze
Deductible,
$20
Not covered Deductible,
$0
Not covered Deductible,
$0
Not covered
HMO 6650 Elite Bronze Deductible,
50%
Not covered Deductible,
50%
Not covered Deductible,
50%
Not covered
HMO HSA 3250 Elite Silver Deductible,
20%
Not covered Deductible,
20%
Not covered Deductible,
20%
Not covered
HMO 3000b Elite Silver
HMO 3500 Elite Silver
HMO 4000b Elite Silver
HMO 4500 Elite Silver
HMO 5000c Elite Silver
HMO 1500a Elite Gold
$20 Not covered $0 Not covered $0 Not covered
HMO 7150 Elite Catastrophic Deductible,
0%
Not covered Deductible,
0%
Not covered Deductible,
0%
Not covered
POS 5000a Elite Bronze
POS 5000a Methodist Bronze
Deductible,
$20
Not covered Deductible,
$0
Deductible,
50%
Deductible,
$0
Deductible,
$0
POS 6650 Elite Bronze Deductible,
50%
Not covered Deductible,
50%
Deductible,
50%
Deductible,
50%
Deductible,
50%
POS 3500 Elite Silver
POS 6000b Elite Silver
POS 6000b Methodist Silver
$20 Not covered $0 Deductible,
50%
$0 $0

*Members can choose any provider for vision materials. We cover material costs up to our maximum allowable cost. If a provider bills at more than maximum allowable cost, members are responsible for paying the difference.

Extra Vision Coverage You Can Buy

You can also buy extra vision benefits from VSP for your individual plan. Their strong network of doctors covers more than 56 million members across the country.

With these extras, everyone on your plan 19 years and older gets:

  • An eye exam
  • Unlimited discounts on:
    • Glasses lenses
    • Glasses frames
    • Contact lenses
    • Laser surgery

All this costs just $6.13 per month per person. There's also no deductible and a $130 allowance for frames and contact lenses.

WellVision Exam® Thorough Eye Exam Covered in Full* Once Every 12 Months
Lenses
  • Glass or plastic, single-vision, lined bifocal, lined trifocal lenses covered in full*
  • 20% off all non-covered lens options
  • 20% off additional pairs of prescription glasses (unlimited)
  • 20% off non-prescription sunglasses (unlimited)
Frames
  • Frames covered in full* up to the retail allowance of $130 for a wide selection of frames
  • 20% off any amount above the $130 allowance (once every 12 months)
Contact Lenses
  • 15% off contact lens services (excluding materials)
  • Instead of eyeglasses, elective contact lens services and materials covered up to $130 toward any type of prescription contact lenses
  • Necessary contact lenses covered in full* for members who have a specific condition for which contact lenses provide better sight correction
Laser VisionCare Program
  • VSP-contracted laser centers provide discounts for laser surgery including PRK, LASIK, and Custom LASIK**
  • Discounts average 15% off or 5% off if the laser center offers a promotional price***

*Except for any applicable copayment, including a $20 copayment for the exam. There is no separate copayment for lenses, frames, or contacts.
**Custom LASIK coverage only available using wavefront technology with the microkeratome surgical device. Other LASIK procedures may be performed at an additional cost to the member.
***Laser VisionCare discounts are only available from VSP-contracted facilities. Preauthorization required.

 

Add Coverage

These options can be added using our direct paper applications or plan change forms:

Add to New Plan Add to Existing Plan

Or contact us to get started!


For details on specific vision services and limits, see your plan's policy (under Vision Care).