Plan details

Plan Design table comparing cost and coverage of Basic Exam with Materials and Comprehensive Exam and Materials and
Plan design Basic exam with materials Comprehensive exam and materials
Cost level Lower Higher
Exam

$10 Copay

(1 exam every 12 months)

$0 Copay

(1 exam every 12 months)

Eyeglass lenses $20 - $25 Copay $0 - $10 Copay
Frames $25 Copay

(1 pair every 24 months)

$130 - $150 Allowance, plus 20% discount on any overage
$0 - $10 Copay

(1 pair every 12 months)

$150 - $200 Allowance, plus 20% discount on any overage
Contact lenses (in lieu of eyeglasses) $130 - $150 Allowance, plus 15% discount on any overage

(Every 12 months)
$150 - $200 Allowance, plus 15% discount on any overage

(Every 12 months)
Out-of-network reimbursements allowed (Up to the maximum allowance.)  Yes Yes

Network
 

Search the network

Your vision plan uses Spectera® Eyecare Networks, a national network of eye doctors including optometrists and ophthalmologists.
It also includes:

  • Over 80,000 access points (second largest vision network).
  • 50% private practice and 50% national retail locations.

Your vision plan uses Spectera® Eyecare Networks, a national network of eye doctors including optometrists and ophthalmologists.
It also includes:

  • Over 80,000 access points (second largest vision network).
  • 50% private practice and 50% national retail locations.
Lens benefits

Full coverage for:

  • Standard scratch-resistant coating
  • Polycarbonate lenses

 

Other popular lens options such as progressive lenses, UV coating, tints and more are available at price-protected amounts.

Full coverage for:

  • Standard scratch-resistant coating
  • Polycarbonate lenses

 

Other popular lens options such as progressive lenses, UV coating, tints and more are available at price-protected amounts.

Selection list lenses (formulary) Full coverage for popular contact lens brands Full coverage for popular contact lens brands
Non-selection lenses (non- formulary) An allowance can be applied toward contact lens fitting and evaluation, and the materials purchase. An allowance can be applied toward contact lens fitting and evaluation, and the materials purchase.
Necessary contact lenses* Can be covered in full. The lenses must be determined at the provider's discretion for a number of qualifying conditions. Can be covered in full. The lenses must be determined at the provider's discretion for a number of qualifying conditions.
Bridge2Health included (when selected with a UnitedHealthcare medical plan) Yes Yes
     
Comparison of eligibility and funding of Basic Exam with Materials and Comprehensive Exam and Materials for different group types
Eligibility and funding Basic exam with materials Comprehensive exam and materials
Fully insured groups of 2+ Included Included
Employer-paid (non-contributory), employee-paid (voluntary), or shared funding Included Included

Disclaimer

* Necessary contact lenses are determined at the provider's discretion for one or more of the following conditions: Following cataract surgery without intraocular lens implant; to correct extreme vision problems that cannot be corrected with eyeglass lenses and/or frames; with certain conditions such as anisometropia, keratoconus, irregular corneal/astigmatism, aphakia, facial deformity; or corneal deformity. If your provider considers your contacts necessary, you should ask your provider to contact UnitedHealthcare vision confirming the reimbursement that UnitedHealthcare will make before you purchase such contacts.