Vision Benefits

EyeMed vision coverage offers exams, frames, contacts, lens options, online shopping, and additional savings including LASIK and hearing care discounts.

Vision Benefits

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Vision Premiums

Coverage Tier	Biweekly Deductions
EE Only	$2.85
EE + Children	$6.00
EE + Spouse	$5.70
EE + Family	$8.35

EE Only

Biweekly Deductions: $2.85

EE + Children

Biweekly Deductions: $6.00

EE + Spouse

Biweekly Deductions: $5.70

EE + Family

Biweekly Deductions: $8.35

Coverage Detail

Service	In-Network Member Cost	Out-of-Network Member Reimbursement
Exam at PLUS Providers	$0 copay	Up to $40
Exam	$0 copay	Up to $40
Any available frame at PLUS Providers	$0 copay; 20% off balance over $200 allowance	Up to $105
Frame	$0 copay; 20% off balance over $150 allowance	Up to $105
Contacts - Conventional	$0 copay; 15% off balance over $150 allowance	Up to $105
Contacts - Disposable	$0 copay; 100% of balance over $150 allowance	Up to $105
Contacts - Medically Necessary	$0 copay; paid-in-full	Up to $300
Single Vision	$10 copay	Up to $30
Bifocal	$10 copay	Up to $50
Trifocal	$10 copay	Up to $70
Lenticular	$10 copay	Up to $70
Progressive - Standard–Tier 4	$65/$95/$105/$120/$185 copay	Up to $50
Anti-Reflective Coating - Standard–Tier 3	$45/$57/$68/$85 copay	Up to $23

Exam at PLUS Providers

In-Network Member Cost: $0 copay
Out-of-Network Member Reimbursement: Up to $40

Exam

In-Network Member Cost: $0 copay
Out-of-Network Member Reimbursement: Up to $40

Any available frame at PLUS Providers

In-Network Member Cost: $0 copay; 20% off balance over $200 allowance
Out-of-Network Member Reimbursement: Up to $105

Frame

In-Network Member Cost: $0 copay; 20% off balance over $150 allowance
Out-of-Network Member Reimbursement: Up to $105

Contacts - Conventional

In-Network Member Cost: $0 copay; 15% off balance over $150 allowance
Out-of-Network Member Reimbursement: Up to $105

Contacts - Disposable

In-Network Member Cost: $0 copay; 100% of balance over $150 allowance
Out-of-Network Member Reimbursement: Up to $105

Contacts - Medically Necessary

In-Network Member Cost: $0 copay; paid-in-full
Out-of-Network Member Reimbursement: Up to $300

Single Vision

In-Network Member Cost: $10 copay
Out-of-Network Member Reimbursement: Up to $30

Bifocal

In-Network Member Cost: $10 copay
Out-of-Network Member Reimbursement: Up to $50

Trifocal

In-Network Member Cost: $10 copay
Out-of-Network Member Reimbursement: Up to $70

Lenticular

In-Network Member Cost: $10 copay
Out-of-Network Member Reimbursement: Up to $70

Progressive - Standard–Tier 4

In-Network Member Cost: $65/$95/$105/$120/$185 copay
Out-of-Network Member Reimbursement: Up to $50

Anti-Reflective Coating - Standard–Tier 3

In-Network Member Cost: $45/$57/$68/$85 copay
Out-of-Network Member Reimbursement: Up to $23

Important Notes

EyeMed vision coverage offers exams, frames, contacts, lens options, online shopping, and additional savings including LASIK and hearing care discounts.
You do not need to be enrolled in an airport medical plan to have vision coverage.
LASIK surgery is discounted at 15% off retail, or 5% off promotional price.
Find an in-network provider at eyemed.com.