Page Scrantom - 2025 Benefits Guide

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 24 months

$130 Allowance + 30% off balance

Up to $45

Up to $100 Medically Necessary: up to $210

Contacts every 12 months

$125 Allowance

*Contacts benefit is in lieu of eyeglass frames and lens benefit.

6 | Page Scrantom 2025 Benefits Guide

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