Vision Coverage
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. Your vision plan is through UnitedHealthcare and offers “in and out-of-network” benefits.
Insurance Carrier:
UnitedHealthcare Vision Insurance
Plan Type:
In-Network $10 Copay $25 Copay $25 Copay $25 Copay $25 Copay
Out-of-Network
Exam Copay
Up to $40 Up to $40 Up to $60 Up to $80 Up to $80
Lenses - Single lined Lenses - Bifocal lined Lenses - Trifocal Lenses - Lenticular
$ 130 Retail Allowance; then 30% off remaining balance
Frames
Up to $45
Elective Contact Lenses (in place of lenses & frame) Medically Necessary Contacts
$125 Retail Allowance
Up to $100
$0
Up to $210
Frequency for Exam / Lenses / Frames
12 months / 12 months / 24 months
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PAGE SCRANTOM 2024 BENEFITS GUIDE
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