Your Vision Benefits and Contributions Vision Insurance CSHL Vision coverage is provided by EyeMed.
EyeMed
Core
Buy-Up Vision
In-Network Member Cost
Out-of-Network Reimbursement
Out-of-Network Reimbursement
Vision Benefits Exam (once per 12 months) Frames (once per 12 months)
In-Network Member Cost
$10 copay
up to $35
$10 copay
up to $35
$0 copay, 20% off balance over $175 allowance
35% off retail cost
N/A
up to $75
Lenses (once per 12 months)
Single
$50 copay
N/A
$25 copay
up to $25
Bifocal
$75 copay
N/A
$25 copay
up to $35
Trifocal
$105 copay
N/A
$25 copay
up to $50
Standard Progressive
N/A
N/A
$90 copay
up to $35
$90 copay, 20% off retail cost, less $120 allowance
Premium Progressive
N/A
N/A
up to $35
Contact Lenses (once per 12 months; in lieu of a complete set of glasses)
$0 copay, 15% off balance over $175 allowance $0 copay, 100% off balance over $175 allowance
Conventional
15% off retail cost
N/A
up to $140
Disposable
N/A
N/A
up to $140
Monthly Contributions
Employee Only
$4.85
Employee + Spouse/ Domestic Partner Employee + Child(ren)
All United Healthcare enrollees will be covered automatically under the EyeMed Core Plan. The Lab pays 100% toward the cost of this plan.
$9.46
$9.68
Employee + Family
$15.27
* EyeMed Buy-Up Vision plan includes an annual routine eye exam and allowance toward lenses, contacts and frames once every 12 months with copayment. For more information, or to locate network providers, visit www.enrollwitheyemed.com and choose “Select” from the provider locator dropdown box.
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