Vision Benefits
Vision insurance offers coverage for the routine care of your eyes and may provide coverage for eyeglasses and contact lenses. Your plan will pay for these services based upon the schedule below. Be sure to check your
plan certificate for details.
Keep in mind that your costs will generally be lower if you choose an in-network eye-doctor. To find an in-network eye-doctor, please visit www.myuhc.com.
In-Network |
Out-of-Network |
Frequency |
|
|---|---|---|---|
Exam |
$10 |
Up to $35 |
Once every 12 months |
Lenses |
Once every 12 months |
||
Single |
No charge after |
Up to $40 |
|
Bifocal |
No charge after |
Up to $60 |
|
Trifocal |
No charge after |
Up to $80 |
|
Materials Copay |
$25 |
As noted |
|
Frames |
$175 Allowance |
Up to $45 |
Once every 12 months |
Contact Lenses |
$175 Allowance |
Up to $150 |
Once every 12 months |
BLUE RIVER PLUMBING |
|
|---|---|
Employee |
$0.00 |
Employee + Spouse |
$0.00 |
Employee + Child(ren) |
$0.00 |
Family |
$0.00 |
Vision insurance offers coverage for the routine care of your eyes and may provide coverage for eyeglasses and contact lenses. Your plan will pay for these services based upon the schedule below. Be sure to check your
plan certificate for details.
Keep in mind that your costs will generally be lower if you choose an in-network eye-doctor. To find an in-network eye-doctor, please visit www.myuhc.com.
VSP Choice Network |
In-Network |
Out-of-Network |
Frequency |
|---|---|---|---|
Exam |
$10 |
Up to $40 |
Once every 12 months |
Lenses |
Once every 12 months |
||
Single Vision |
No charge after |
Up to $40 |
|
Bifocal |
No charge after |
Up to $60 |
|
Trifocal |
No charge after |
Up to $80 |
|
Materials Copay |
$25 |
As noted |
|
Frames |
$150 Allowance |
Up to $45 |
Once every 24 months |
Contact Lenses |
$150 Allowance |
Up to $125 |
Once every 12 months |
GREAT PLAINS PLUMBING |
|
|---|---|
Employee Only |
$0.97 |
Employee + Spouse |
$2.71 |
Employee + Child(ren) |
$3.35 |
Family |
$5.11 |
Provided By
United Healthcare
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