Vision Coverage – Insurance Services

Vision Plan 2024-25 (September 1st, 2024 - August 31st, 2025)
Vision Plans 2023-24 (September 1st, 2023 - August 31st, 2024)

EyeMed Vision Plan 2024-25
Insight Network
Click here to find a provider. When searching for providers select the "Insight" network.
PLUS Providers will be indicated when looking up providers.
If you use a PLUS Provider you will receive more benefit (see chart below).

	EyeMed 130
	PLUS Provider	Insight Network	Non Network (Reimbursement)
Eye Exam Eyeglass & Contact Exam	$0 Copay	$10 Copay	Up to $40
Frames Allowance Based on Retail Pricing	$180 Allowance	$130 Allowance	Up to $65
Lenses Single/Bifocal/Trifocal Standard Progressive Premium Progressive	$10 Copay $65 Copay $95/$105/$120/$225 Copay	$10 Copay $65 Copay $95/$105/$120/$225 Copay	Up to $30 / $50 / $70 Up to $50 Up to $50
Lens Options Tint UV Coating Standard Scratch Resistance Standard Polycarbonate Standard Anti-Reflective	$15 Copay $15 Copay $15 Copay $40 Copay $45 Copay	$15 Copay $15 Copay $15 Copay $40 Copay $45 Copay	Not Covered Not Covered Not Covered Not Covered Up to $23
Contacts (In Lieu of Glasses) Conventional / Disposable Medically Necessary	$180 Allowance Covered 100%	$130 Allowance Covered $100	Up to $65 Up to $300

Plan Summary and Premiums
EyeMed 130

Need to register as a New User or Obtain ID Cards?
EyeMed Experience More: Online Access

To get reimbursed for Out of Network benefits:
If you need an out-of-network claim form, simply log into your Member Web account and go to the "Claims" tab.

Questions about your EyeMed benefits?
EyeMed Q&A

Available Opticare Vision Plans 2023-24 (Effective through 8/31/24)
Select Network: Standard Optical
Broad Network: Other Providers Listed Here
Non Network: Any provider outside of the Providers List (you will have to submit for reimbursement)
Vision Premiums

	Opticare 0-10-140C+ Plan			Opticare 0-10-100C+ Plan
	Select Network	Broad Network	Non Network	Select Network	Broad Network	Non Network
Eye Exam Eyeglass & Contact Exam Routine Dilation Contact Fitting	1x Per Year Covered 100% Covered 100% Covered 100%	1x Per Year $10 Co-Pay Retail Retail	1x Per Year $45 Allowance	1x Per Year Covered 100% Covered 100% Covered 100%	1x Per Year $10 Co-Pay Retail Retail	1x Per Year $45 Allowance
Lenses Plastic Single Vision, Bifocal & Trifocal Progressive Lenses Premium Progressive Options Ultra Prem Progressive Options Polycarbonate High Index	1x Per Year Covered 100% $10 Co-Pay $80 Co-Pay Up to 20% Discount $20 Co-Pay $80 Co-Pay	1x Per Year $10 Co-Pay $50 Co-Pay $100 Co-Pay Up to 20% Discount $40 Co-Pay Up to 25% Discount	$85 Allowance for Lenses, Options & Coatings	1x Per Year Covered 100% $10 Co-Pay $80 Co-Pay Up to 20% Discount $20 Co-Pay $80 Co-Pay	1x Per Year $10 Co-Pay $50 Co-Pay $100 Co-Pay Up to 20% Discount $40 Co-Pay Up to 25% Discount	$85 Allowance for Lenses, Options & Coatings
Coatings Scratch Resistant Coating Ultraviolet Filter Other Options: Anti-Reflective, Tints, etc.	Covered 100% Covered 100% Up to 25% Discount	$10 Co-Pay $10 Co-Pay Up to 25% Discount	$85 Allowance for Lenses, Options & Coatings	Covered 100% Covered 100% Up to 25% Discount	$10 Co-Pay $10 Co-Pay Up to 25% Discount	$85 Allowance for Lenses, Options & Coatings
Frames Allowance based on retail pricing	1x Per Year $140 Allowance	1x Per Year $130 Allowance	1x Per Year $85 Allowance	1x Per Year $100 Allowance	1x Per Year $90 Allowance	1x Per Year $60 Allowance
Back-Up or Multiple Pairs of Glasses	1X Per Year Up to 50% Discount	1X Per Year Up to 25% Discount	Not Covered	1X Per Year Up to 50% Discount	1X Per Year Up to 25% Discount	Not Covered
Contacts (In Lieu of Glasses) Benefit Allowance Additional Contact Purchases Conventional Disposable	1x Per Year $140 Allowance Up to 20% Discount Up to 10% Discount	1x Per Year $130 Allowance Retail Retail	$105 Allowance	1x Per Year $100 Allowance Up to 20% Discount Up to 10% Discount	1x Per Year $90 Allowance Retailers Retailers	$75 Allowance

Opticare Vision Plans

Need to register as a New User or Obtain ID Cards?
Opticare Vision Member Portal Access Instructions

To get reimbursed for Out of Network benefits:
Please fill out the online form for the easiest and fastest method. Make sure to upload your receipt at the bottom of the form.
Opticare Out of Network Claim Online Form
You can also fill out the form below and mail it in to Opticare.
Opticare Out of Network Claim Paper Form