Vision

The School System Vision Plan provides a benefit for an exam, either contact lenses or eyeglass lenses, and frames.  If you see an in-network provider, you pay a copay for your standard eye exam / lenses, and the plan pays a benefit of up to $200 for frames, and contact lenses.  Additional copays apply for eyeglass lens options.  Dependent children can be covered to age 26.

Access the carrier website to locate provider network information.

 

Rate Information

Important Documents

With the Vision Plan, you may visit any vision provider.  However, in order to maximize your vision benefit, we encourage you to visit an in-network provider.  Participating vision provider information can be found on the Resources page.

Vision Summary of Benefits In-Network
Exam
Standard $20 copay
Contact Lens Fit and Follow-up Covered in full with a maximum copay of $60
Lenses - Glasses
Single Covered in full less $20 copay
Bifocal Covered in full less $20 copay
Trifocal Covered in full less $20 copay
Lenticular Covered in full less $20 copay
UV Treatment $0 copay
Tint $15 copay
Standard Polycarbonate - Kids under 19 $0 copay
Frames
Plan pays $200 less $20 copay Costco: Plan pays $70 less $20 copay
Contact Lenses
Conventional Up to $200 allowance
Disposable Up to $200 allowance
Medically necessary Covered in full less $20 copay

Frequencies


  • Examination: Once per 12 months
  • Lenses: One pair per 12 months
  • Frames: One pair per 24 months

** Either eyeglass lenses or contact lenses are allowed per frequency **