Vision
CENTURY 21 Affiliated also partners with Delta Dental to provide vision insurance through EyeMed. Seeing an EyeMed in-network vision provider will help you maximize your benefits and minimize out-of-pocket expenses. To find a provider in-network and learn more about the vision insurance, visit www.deltadentalwi.com .
Service/ Material Freq
Employee Monthly Premiums
In-Network
Non-Network
Exam | 12 Months
$10 copay
Up to $35
Frames | 24 Months
$150 Retail Allowance
Up to $75
Lenses | 12 Months
Employee Only $7.08
Single Vision
$10 copay
Up to $25
Employee/Spouse $14.16
Bifocal
$10 copay
Up to $40
Trifocal
$10 copay
Up to $55
Employee/Child(ren) $14.45
Progressive
Pay $65 plus $10 copay
Up to $40
Family $21.53
Contact Lenses 12 Months
(Contact Lenses are in lieu of frames and eyeglass lenses)
Elective
Up to $150 Allowance
Up to $120
Medically Necessary
Paid in full
Up to $200
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