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
In-Network Member Cost
Out-of-Network Reimbursement
Vision Benefits
Exam (once per 12 months)
$10 copay
up to $35
$10 copay
up to $35
$140 allowance + 20% for the cost over the allowance
Frames (once per 12 months)
N/A
N/A
up to $60
Lenses (once per 12 months)
Single
N/A
N/A
$25 copay
up to $25
Bifocal
N/A
N/A
$25 copay
up to $35
Trifocal
N/A
N/A
$25 copay
up to $50
Standard Progressive
N/A
N/A
$90 copay
up to $35
$90, 80% of charges less the $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 copayment, $140 allowance, 15% off balance over $140
Conventional
N/A
N/A
up to $112
Disposable
N/A
N/A
$0 copayment, $140 allowance
up to $112
Monthly Contributions
Employee Only
$3.45
Employee + Spouse/ Domestic Partner
$6.72
All United Healthcare enrollees will be covered automatically under the EyeMed Core Plan. The Lab pays 100% toward the cost of this plan.
Employee + Child(ren)
$6.88
Employee + Family
$10.85
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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