Your Vision Benefits and Contributions Vision Insurance CSHL Vision coverage is provided by EyeMed. Must be enrolled in a United Healthcare plan to be enrolled in either the Core or the Buy-Up plan.
EyeMed
Core
Buy-Up Vision*
In-Network Member Cost
Out-of-Network Reimbursement
In-Network Member Cost
Out-of-Network Reimbursement
Vision Benefits
Exam (once per 12 months)
$10 copay
up to $35
$10 copay
up to $35
$140 allowance + 20% for the cost over the allowance
Frames (once per 12 months)
N/A
N/A
up to $60
Lenses (once per 12 months)
Single
N/A
N/A
$25 copay
up to $25
Bifocal
N/A
N/A
$25 copay
up to $35
Trifocal
N/A
N/A
$25 copay
up to $50
Standard Progressive
N/A
N/A
$90 copay
up to $35
$90, 80% of charges less the $120 allowance
Premium Progressive
N/A
N/A
up to $35
Contact Lenses (once per 12 months; in lieu of a complete set of glasses)
$0 copayment, $140 allowance, 15% off balance over $140
Conventional
N/A
N/A
up to $112
Disposable
N/A
N/A
$0 copayment, $140 allowance
up to $112
Monthly Contributions
Employee Only
$3.45
Employee + Spouse/ Domestic Partner
$6.72
All United Healthcare enrollees will be covered automatically under the EyeMed Core Plan. The Lab pays 100% toward the cost of this plan.
Employee + Child(ren)
$6.88
Employee + Family
$10.85
* EyeMed Buy-Up Vision plan includes an annual routine eye exam and allowance toward lenses, contacts and frames once every 12 months with copayment.
For more information, or to locate network providers, visit www.enrollwitheyemed.com and choose “Select” from the provider locator dropdown box.
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