Vision

Vision PPO

Gain access to more than 40,000 EyeMed Vision Care® providers. Member benefits include contacts in addition to frames and lenses, as well as discounts on laser vision correction. Material plan option also available.

  In-Network Out of Network
Annual Eye Exam $10 copay Up to $42

Fit and Follow-up Exams Covered in full Up to $40

Frames $130 allowance
20% off amount over allowance
Up to $65

Lenses
Single $10 copay Up to $35
Bifocal $10 copay Up to $40
Trifocal $10 copay Up to $65
Progressive $75 copay Up to $40
Preimum Progressive $75 copay, $120 allowance
20% off amount over allowance
Up to $40

Contacts
Elective - Conventional $130 allowance
15% off amount over allowance
Up to $104
Elective - Disposable $130 allowance Up to $104
Medically Necessary Covered in full Up to $200

Lens Options
UV Coating $15 copay No benefit
Tint - Solid and gradient $15 copay No benefit
Scratch-resistant $15 copay No benefit
Polycarbonate $40 copay No benefit
Anti-reflective $45 copay No benefit
Other add-ons and services 20% off amount No benefit

Frequencies in Months Lenses or contacts 12
Frames 12 or 24
Lenses or contacts 12
Frames 12 or 24
  In-Network Out of Network
Annual Eye Exam $10 copay Up to $42

Fit and Follow-up Exams Up to $55 copay No benefit

Frames $130 allowance
20% off amount over allowance
Up to $65

Lenses
Single $25 copay Up to $35
Bifocal $25 copay Up to $40
Trifocal $25 copay Up to $65
Progressive $90 copay Up to $40
Preimum Progressive $90 copay, $120 allowance
20% off amount over allowance
Up to $40

Contacts
Elective - Conventional $130 allowance
15% off amount over allowance
Up to $104
Elective - Disposable $130 allowance Up to $104
Medically Necessary Covered in full Up to $200

Lens Options
UV Coating $15 copay No benefit
Tint - Solid and gradient $15 copay No benefit
Scratch-resistant $15 copay No benefit
Polycarbonate $40 copay No benefit
Anti-reflective $45 copay No benefit
Other add-ons and services 20% off amount No benefit

Frequencies in Months Lenses or contacts 12
Frames 12 or 24
Lenses or contacts 12
Frames 12 or 24
  In-Network Out of Network
Annual Eye Exam $10 copay Up to $42

Fit and Follow-up Exams Up to $55 copay No benefit

Frames $100 allowance
20% off amount over allowance
Up to $50

Lenses
Single $25 copay Up to $35
Bifocal $25 copay Up to $40
Trifocal $25 copay Up to $65
Progressive $90 copay Up to $40
Preimum Progressive $90 copay, $120 allowance
20% off amount over allowance
Up to $40

Contacts
Elective - Conventional $115 allowance
15% off amount over allowance
Up to $92
Elective - Disposable $115 allowance Up to $92
Medically Necessary Covered in full Up to $200

Lens Options
UV Coating $15 copay No benefit
Tint - Solid and gradient $15 copay No benefit
Scratch-resistant $15 copay No benefit
Polycarbonate $40 copay No benefit
Anti-reflective $45 copay No benefit
Other add-ons and services 20% off amount No benefit

Frequencies in Months Lenses or contacts 12
Frames 12 or 24
Lenses or contacts 12
Frames 12 or 24

Available in

AK, AL, AR, AZ, CA, CO, DC, FL, GA, HI, ID, IL, IN, KS, KY, LA, MD, MI, MO, MS, MT, NC, ND, NE, NM, NV, OH, OK, OR, PA, SC, SD, TN, TX, UT, VA, WA and WY.