VISION BENEFITS
You can help protect your eyesight by visiting an eye doctor regularly. Taking care of your eyes today can lead to a better quality of life later.
The vision plan covers routine eye exams and also pays for all or a portion of the cost of glasses or contact lenses if you need them.
To find an in-network provider, visit uhc.com/find-a-doctor
Insurance Carrier:
UnitedHealthcare Vision Insurance
In-Network You pay:
Out-of-Network You are reimbursed:
Eye Exam every 12 months
$10 Copay
Up to $40
Lenses every 12 months • Single Vision
$25 Copay $25 Copay $25 Copay $25 Copay
Up to $40 Up to $60 Up to $80 Up to $80
• Bifocal • Trifocal • Lenticular
Frames every 12 months
$150 Allowance + 30% off balance
Up to $45
$105 Allowance Medically Necessary: Covered in full
Up to $80 Medically Necessary: up to $210
Contacts every 12 months
Employee Bi-Weekly Deduction
Employee Only
$2.79
Employee + Spouse
$5.30
Employee + Child(ren)
$6.22
Family
$8.75
*Contacts benefit is in lieu of eyeglass frames and lens benefit.
8 | Baft Development Services LLC DBA Jan Pro 2025 Benefits Guide
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