Your 2021 plan doesn’t include vision coverage, but that doesn’t mean you have to go without. Adding vision benefits to your plan is simple. All you have to do is choose one of two levels of coverage (read more about those below), fill out the enrollment form and send it in.
Additional pairs benefit: members also receive a 40% discount off complete pair eyeglass purchases and a 15% discount off conventional contact lenses once the funded benefit has been used.
| EyeMed - Medium (in-network) | EyeMed - High (in-network) | |
|---|---|---|
| Exam with dilation, as necessary | $15 copay | $10 copay |
| Fundus photography benefit | Up to $39 | Up to $39 |
| Exam options: | ||
| Standard contact lens fit and follow-up | Up to $40 | Up to $40 |
| Premium contact lens fit and follow-up | 10% off retail price | 10% off retail price |
| Frames: any available frame at provider location | $0 copay $150 allowance 20% off balance over $150 | $0 copay $200 allowance 20% off balance over $200 |
| Standard plastic lenses | ||
| Single vision | $25 copay | $20 copay |
| Bifocal | $25 copay | $20 copay |
| Trifocal | $25 copay | $20 copay |
| Lenticular | $25 copay | $20 copay |
| Standard progressive lens | $90 copay | $85 copay |
| Premium progressive lens | $90 copay 80% of charge less $120 allowance | $85 copay 80% of charge less $120 allowance |
| Lens options: | ||
| UV treatment tint (solid and gradient) | $15 | $15 |
| Standard plastic scratch coating | $15 | $15 |
| Standard polycarbonate - adults | $0 copay | $0 copay |
| Standard polycarbonate - kids under 19 | $0 copay | $0 copay |
| Standard anti-reflective coating | $0 copay | $0 copay |
| Premium anti-reflective coating | $45 | $45 |
| Other add-ons | 80% of charge 20% off retail price | 80% of charge 20% off retail price |
| Contact Lenses | ||
| Conventional | $0 copay $150 allowance 15% off balance over $150 | $0 copay $200 allowance 15% off balance over $200 |
| Disposable | $0 copay $150 allowance 15% off balance over $150 | $0 copay $200 allowance 15% off balance over $200 |
| Medically Necessary | $0 copay, paid-in-full | $0 copay, paid-in-full |
| Laser vision correction | ||
| Lasik or PRK from U.S. Laser Network | 15% off retail price or 5% off promotion price | 15% off retail price or 5% off promotion price |
Disposable $0 Copay; Reimbursement up $130 Allowance, to $100, $0 Copay, Member pays difference Member pays difference. Medically Necessary $7.50 Copay, Reimbursement up 100% of EyeMed to $210, $7.50 Copay, approved amount Member pays difference. Or for EyeMed Individual sales and service only call 844-225-3107. Already a member through your employer? Call 1-866-939-3633. Employers contact your account manager.
Special offers, benefits reminders, wellness tips—instant info is just a text and a tap away with EyeMed text alerts. Call 844.873.7853 to opt in. Be sure to have your 9-digit Member ID handy. You can find it on the member portal. Single Vision $20 copay. Trifocal $20 copay. N/A Standard Progressive Lens. Premium Progressive Lens $20 copay, 70% of charge. Bonus: arguing with oneself. Less $110 allowance $70. $80 copay, 70% of charge less $110 allowance. $40 30% off retail. EyeMed Kaiser Anthem; Routine Eye Exam: Covered with copay. Covered with copay. Eyewear – Frames, Lenses, or Contacts: Up to $150 allowance every year (does not roll over if not used). (Partial reimbursement available from EyeMed if member files an out-of-network claim.) Medical Eye Exams.
Eyemed Vision Care Providers List
Generating the web. *Member Reimbursement Out-of-Network will be the lesser of the listed amount or the member’s actual cost from the out-of-network provider. In certain states members may be required to pay the full retail rate and not the negotiated discount rate with certain participating providers.
Enroll now
How Much Does Eyemed Cover
Download the MyPriority EyeMedVision enrollment form