Our carrier Superior Vision offers both in-network and out-of-network coverage. The in-network coverage provides co-pays and larger allowances for services. The out-of-network coverage only provides allowances for services. Click on the important document below for a complete summary of coverage.
Carrier: Superior Vision Services, Inc.
Eligibility: All full-time employees (> 30 hours a week)
|COVERED SERVICES||AMOUNT YOU PAY|
|Eye Exam (annually)||100% after $10 copay|
|Standard Lenses (annually) Single vision Bifocal Trifocal Lenticular||100% after $10 copay|
|Frames (every 24 months)||$10 copay or $130 Allowance|
|Contact Lenses (annually) Medically Necessary||100% after $10 copay|
|Contact Lenses (annually) Cosmetic/Elective Standard||Up to $120|
|Standard Contact Fitting Fee||100% after $25 copay|
|Specialty Contact Lens Fitting Fee||Up to $50|
|Out of network coverage also available||Allowances, see Open Enrollment portal for additional coverage|
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