Vision Insurance—EyeMed
The District provides vision insurance for employees at no cost. You may elect coverage for your spouse and/or children; however, you will be responsible for the premium to cover your dependents. Please notice out - of - network services only provide a reimbursement benefit. You will have to pay for services first then file a claim with EyeMed.
Facts and tips
Plan Design - Administered by EyeMed
Frequency of Service:
Exam: Every 12 months Lenses: Every 12 months Frames: Every 24 months
Coverage Type
In - Network
Out - of - Network
Examination Co - Pay
Up to $35 Reimbursement
$0 Co - Pay
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Contact lens allowance is for lenses. In - network providers are contracted to charge no more than $40 for the standard contact lens fit and follow up exam. UCR refers to Usual, Customary and Reasonable charges. To determine the UCR, EyeMed takes the procedural charge of area providers and calculates an average. Charges above this average become your responsibility.
Lenses: Single Bifocal Trifocal
$5 Copay; then: $0 Copay $0 Copay $0 Copay
Allowance $35 $45 $60
$50 Wholesale Allowance $125 to $150 Retail
$35 Retail Allowance
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Frame
Contact Lenses: Necessary Elective
UCR $130 Allowance
$250 Allowance $130 Allowance
You will receive a monthly benefit allotment of $6.82 from which your vision cost will be deducted.
Monthly Vision Employee Cost
Coverage Type
Employee
$0
Employee & Spouse
$6.14
Employee & Child(ren)
$6.82
Employee & Family
$13.24
The amounts shown above are the employee contributions after the $6.82 monthly vision benefit allotment
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