SiteImpact | 2023-2024 Benefit Guide

VISION UNITEDHEALTHCARE

Our vision care benefits include coverage for eye exams, lenses and frames, contact lenses, and discounts for laser surgery. The vision plan is built around the UHC providers, who have higher benefits at a lower cost to you. When you need services, consider using an in-network provider as you will pay less. When you use an out-of-network provider, you will be reimbursed for services according to the grid below. To locate an in-network provider, visit www.uhcvision.com or call them at 800-839-3242.

Vision

United HealthCare

UHC Vision Network

In-network

Out-of-network

Exam copay (Once every 12 months)

$10 copay

Up to $40

Materials copay

$10 copay

N/A

Lenses (every 12 months) Single

Up to $40

Bifocal

Up to $60

Covered in full after $10 copay

Trifocal

Up to $80

Lenticular

Up to $80

Frames (Once every 12 months) Frames

$150 allowance

Up to $45

Contact lenses (Once every 12 months) Elective

$150 allowance

Up to $125

100% Covered after copay

Medically necessary

Up to $210

Members can elect dental and/or vision regardless of whether they are enrolled in medical.

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