Benefit frequency
Plans set how often each benefit renews, commonly every 12 months for exams and lenses and every 12 or 24 months for frames.
Coverage
Affordable vision coverage for eye exams, frames, lenses, and contacts.
Who it's for
What it covers
How it works
You choose a network, how often each benefit renews, and allowance levels for frames and contacts.
Employees enroll with their medical and dental coverage, or on their own if the plan is voluntary.
In network, the employee pays a small copay for the exam and gets lenses and an allowance toward frames or contacts. They pay any amount over the allowance.
Employees who see an out-of-network provider pay up front and submit a claim. The plan reimburses them up to a set schedule.
Before you decide
Plans set how often each benefit renews, commonly every 12 months for exams and lenses and every 12 or 24 months for frames.
Some medical plans include limited vision benefits. Adult vision usually needs a separate plan; pediatric vision is already required in ACA small group medical plans.
Check that the network includes the optometrists and retail locations your employees already use.
Frame and contact allowances vary between plans. A modest increase in allowance often costs little in premium.
FAQ
Medical plans cover eye disease and injuries. Routine exams, glasses, and contacts for adults usually require a separate vision plan, though pediatric vision is included in small group medical plans.
If the doctor is in the plan's network, yes. Otherwise most plans still reimburse part of the cost out of network.
Commonly every 12 months for exams and lenses and every 12 or 24 months for frames, depending on the plan.
For many employers, yes. It costs the business nothing in premium, and employees who wear glasses or contacts often save more than they pay.
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