VISION INSURANCE
Kisinger Campo & Associates offers vision coverage through Superior Vision. The Superior Vision plan allows you the flexibility to see any provider. To search in-network providers visit www.Superiorvision.com and in search based on your location in the “Locate a Provider” box. You will be asked to select your network, please select “Superior National”. When you utilize an out-of-network provider you pay expenses at the time of service and file a claim for reimbursement. Below is a list of the reimbursement schedule.
Vision Superior National Network
In-Network
Routine Eye Exams
Every 12 months
$10 Copay
Lenses 2
Every 12 months
Single Vision Bifocal Trifocal
$10 Copay Factory scratch coating is covered 100% Lens upgrades are available at 20% of retail pricing.
Ultraviolet coat Tints, solid or gradients Anti-reflective coat
$15 Copay $25 Copay $50 Copay
Polycarbonate High index 1.6 Photochromics
$40 Copay for single vision / 20% off retail for bifocal & trifocal $55 Copay for single vision / 20% off retail for bifocal & trifocal $80 Copay for single vision / 20% off retail for bifocal & trifocal
Frames
Every 24 months
$10 Copay provides a $150 allowance PLUS 20% off cost over the allowance allowance
Contact Lenses (in lieu of glasses) 1
Every 12 months
Elective Contact Lenses Contact Lens Fitting 2
$150allowance
Standard Specialty
Covered in full $50 allowance
Out-of-Network
Routine Eye Exams
Every 12 months Reimbursed up to $28-33 Every 12 months Reimbursed up to $28 Reimbursed up to $40 Reimbursed up to $53 Reimbursed up to $53 Every 24 months Reimbursed up to $70 Every 12 months Reimbursed up to $100 Reimbursed up to $100
Lenses 2 Single
Bifocal Trifocal Progressives
Frames
Contact Lenses (in lieu of glasses) Elective Medically Necessary
Bi-Weekly Cost for Coverage
Employee Only
$3.99
Employee + Spouse
$7.49
Employee + Child(ren)
$7.85
1 Reimbursable amount, less applicable copay.
Employee + Family
$11.86
1 Lenses benefit listed are for a pair of lenses 2 Standard Contact Lens Fitting applies to a current contact lens user who wears disposable, daily wear, or extended wear lenses only. Specialty Contact Lens Fitting applies to new contact wearers and/or a member who wear toric, gas permeable, or multi-focal lenses.
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