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VisionCare Plan Overview
VisionCare Plan
offers you and your family a benefit that covers all routine eye care,
including eye exams and eyeglasses (lenses and frames) or contacts. The
plan features:
- In-network and out-of-network benefits
- Enhanced benefits in-network
- National panel of optometrists and ophthalmologists
Frequently Asked Questions
How does the plan work with network doctors?
The plan is easy to use!
- Obtain a VisionPass/Benefit Form by calling our Member Services Department at 800-865-3676 Monday through Friday 8am to 6pm or by faxing a request to us at 800-421-0100. You may also request a VisionPass/Benefit Form through this website at MyCompBenefits. With MyCompBenefits, you can obtain the VisionPass/Benefit Form through email, fax, postal mail, or print a copy from the website.
- Once you have obtained a VisionPass/Benefit Form (valid for 60 days), select a VisionCare Plan network doctor (either through this website or by calling our Member Services Department at 800-865-3676 Monday through Friday 8am to 6pm. Call the network doctor you have selected and make an appointment.
- Present your VisionPass/Benefit Form to the doctor during your visit. You'll pay any copayments at that time as well.
You have nothing more to do! The VisionCare Plan network doctor provides
you with services and bills CompBenefits directly for the balance of your
bill.
Since the plan is designed to meet your eye care needs, optional upgrades
(like frames costing more than the plan limits, progressive lenses, or
contacts that are not medically necessary) will cost extra. However, since
all upgrades are on a wholesale basis, your cost will be lower than what you
would pay on your own.
What are the advantages of using a network provider?
Our national network of providers can provide you with one-stop shopping.
You get your eye exam and materials with nothing more than your copayment
(cosmetic options will include additional charges).
What if I want to see a provider not in your network?
If you prefer, you can visit a non-network doctor. If you do, you will pay
the doctor's regular charges and CompBenefits will reimburse you according
to the plan's non-network benefit schedule.
How can I get further questions answered?
You may contact the Member Services Department with any questions or
concerns at 1-800-865-3676, Monday
through Friday 8am to 6pm
Plan
Frequencies |
Exam every 12 months
Lenses every 12 months
Frames every 24 months |
| Copayment for each member at the time of service |
| Exam $10.00 |
| Lenses and/or frames $15.00 |
| Maximum Allowances |
Network Doctor
Non-network (After copayments/Up to plan limits) |
Non-network
(copayments apply) |
| Eye Exam |
Paid in full |
$35 |
| Lenses
(per pair) |
|
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| Single |
Paid in full |
$20 |
| Bifocal |
Paid in full |
$40 |
| Trifocal |
Paid in full |
$60 |
| Lenticular |
Paid in full |
$100 |
| Contact Lenses |
|
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| Elective (exam & lenses) ** |
$105 |
$105 |
| Medically necessary* |
Paid in full |
$150 |
| Frame |
$40 wholesale |
$40 retail |
*Medically necessary (prior authorization required) is
defined as 1) following cataract surgery w/o intraocular lens; 2)
correction of extreme visual acuity problems not correctable with
glasses; 3) anisometropia greater than 5.00 diopters and asthenopia
or diplopia, with spectacles; 4) Keratoconus; or 5) monocular aphakia
and/or binocular aphakia where the doctor certifies contact lenses
are medically necessary for safety and rehabilitation to a
productive life.
**We will cover the combined cost of an annual vision exam, contact lens
evaluation exam, fitting cost and contact lenses up to a maximum of $105.
Payment will be in lieu of all other benefits. The copayment is waived.
This schedule shows only a few of the covered
procedures. Please see your Benefit Administrator for a complete schedule.
This schedule is intended for comparison purposes only. The benefits of
each plan will be determined by the contract. For a complete listing of
benefits and exclusions and limitations, please reference your certificate
of coverage.
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