Vision Plan

The City provides all benefits-eligible employees with an annual eye exam for a $10 copay at one of EyeMed's participating providers.

You can purchase additional vision coverage for yourself and your eligible family members, which covers eye exams, lenses, frames and contacts through EyeMed. Visit www.EyeMedVisionCare.com to locate network providers and choose "Select" for your network option.

Please note that additional discounts are available through Plus providers.

VISION PLAN AT A GLANCE

	In-network (through EyeMed providers)	Out-of-network (through other providers)
YOU PAY
Annual deductible	$0
THEN THE PLAN PAYS
Eye exams (once every calendar year)
At Plus Providers At Select Providers	$0 copay 100% after $10 copay	Up to $35 Up to $35
Frames (one pair every other calendar year)
At Plus Providers At Select Providers	$0 copay; 20% off balance over $190 allowance $0 copay; 20% off balance over $140 allowance	Up to $50 Up to $50
Lenses (one pair every calendar year)
Single vision lenses Bifocals Trifocals Lenticular Progressive - Standard Progressive - Premium	100% after $25 copay 100% after $25 copay 100% after $25 copay 100% after $25 copay 100% after $90 copay $90 copay; 20% off retail price less $120 allowance	Up to $40 Up to $60 Up to $80 Up to $80 Up to $60 Up to $60
Contact lenses (one pair every calendar year - in lieu of lenses)
Conventional Disposables Medically necessary	$0 copay; 15% off balance over $125 allowance $0 copay; 100% off balance over $125 allowance $0 copay; paid in full	Up to $125 Up to $125 Up to $210

OTHER VISION DISCOUNTS

EyeMed network providers also offer discounts on additional eyewear, eye care supplies like cleaning cloths and solutions, and replacement contact lens purchases. You can save from 5%-15% on laser vision correction, such as LASIK, PRK and e-LASIK procedures, at U.S. Laser Vision network surgeons.

Vision Plan

Employee Benefits and Risk Mgmt. Director