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Plan Details

  Basic Exam with Materials Comprehensive Exam and Materials
Plan design
Cost $ $$
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

(Up to the maximum allowance.)
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.
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.

Selection list lenses (formulary) 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.
Necessary Contact lenses* Can be covered in full. The lenses must be determined at the provider's discretion for a number of qualifying conditions.
Bridge2Health (when selected with a UnitedHealthcare medical plan)
Eligibility and funding
Fully insured groups of 2+
Employer-paid (non-contributory), employee-paid (voluntary), or shared funding

 

* 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.

 

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