Voluntary BenefitsEyeMed
A vision plan on the EyeMed Insight network. One exam, one frame, and one set of lenses or contacts every calendar year — with extra savings at PLUS providers.
- Network
- Insight Network
- Exam copay
- $10 in-network — $0 at a PLUS provider
- Frame allowance
- Up to $200 at a PLUS provider
- Standard lenses
- $25 copay
- Frequency
- Once every 12 months
- Member services
- (866) 939-3633
What it covers
An eye exam, plus either a frame and lenses or contact lenses, once every 12 months.
Exam and fitting
- Eye exam — $10 copay in network, $0 at a PLUS provider. Up to $40 reimbursed out of network.
- Retinal imaging — up to $39. Not covered out of network.
- Contact lens fit and follow-up — standard up to $40; premium 10% off retail.
Frames and lenses
- Frame — $0 copay, up to a $200 allowance at a PLUS provider ($150 standard in network), then 20% off the balance. $100 off a second pair when purchased at a PLUS provider.
- Single vision, bifocal, trifocal, lenticular lenses — $25 copay.
- Standard progressive lenses — $80 copay. Premium progressives run $110–$200.
- Anti-reflective coating — $45 standard; $57–$85 for premium tiers.
- Polycarbonate $40 · photochromic $75 · scratch, tint or UV $15.
- All other lens options — 20% off retail.
Contact lenses
- In lieu of glasses, once every 12 months.
- Material allowance up to $200 at a PLUS provider, then 15% off the balance.
- Medically necessary contacts — paid in full.
Also included
- Hearing care through the Amplifon network — discounts on hearing aids, (877) 203-0675.
- LASIK or PRK through the U.S. Laser Network — 15% off retail or 5% off a promotional price, (800) 988-4221.
How to use it
- Go to eyemed.com and click Find an Eye Doctor.
- Search by location or by doctor, with network set to Insight Network. Enter your ZIP code and click Search.
- Look for the PLUS marker — that's where the $0 exam, the larger allowances and the second-pair discount apply.
- Log in at eyemed.com/member to see everything included with your benefits.
- No promo codes, coupons or paperwork — PLUS savings are built into the benefit.
The plan lets you take frame and lens services or contacts in a given year — not both.
What it costs
| Service | PLUS provider | In-network | Out-of-network |
|---|---|---|---|
| Exam | $0 copay | $10 copay | Up to $40 |
| Frame | $0 copay, 20% off over $200 | $0 copay, 20% off over $150 | Up to $105 |
| Single vision lenses | $25 copay | $25 copay | Up to $30 |
| Bifocal lenses | $25 copay | $25 copay | Up to $50 |
| Trifocal / lenticular | $25 copay | $25 copay | Up to $70 |
| Progressive — standard | $80 copay | $80 copay | Up to $50 |
| Contacts — conventional | $0 copay, 15% off over $200 | $0 copay, 15% off over $150 | Up to $150 |
| Contacts — medically necessary | Paid in full | Paid in full | Up to $300 |
Copays are the same either way — the difference between PLUS and standard in-network providers is in the allowances.
Who's eligible
Employees and their dependents. Exam, frame, lens and contact lens benefits each reset once every 12 months, on the same schedule for adults and children.
Not covered
Medical or surgical treatment of the eye, vision training, safety eyewear, non-prescription sunglasses or plano lenses, two pairs of glasses in lieu of bifocals, solutions and cleaning products, and replacement of lost or broken eyewear before the next benefit frequency. Underwritten by Fidelity Security Life Insurance Company, policy VC-146.
Questions
- Phone(866) 939-3633
- Websitewww.eyemed.com
- Badger HR(724) 631-1119 · hr@badgerind.com