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 |
| Exam Plus means if you prefer contacts you get your exam plus an allowance for contacts in place of lenses and frames |
Frequently Asked Questions
How does the plan work with network doctors?
The plan is easy to use!
- Your VisionCare Plan ID card will be mailed to your home and your
Certificate of Benefits is included within this website. The Certificate
provides you with detailed information about the VisionCare Plan benefits.
- 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. Have your ID card ready so that you can give
the doctor's office your policy number which is on the card. The doctor's
office will verify your eligibility and your plan benefits before your
visit.
- Present your ID card at the time of your visit. After your exam, the
doctor will have you sign a VisionCare Plan form. 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 Customer Care Department with any questions or
concerns at 1-800-865-3676, Monday through Friday 8am to 6pm.
Monthly Rates
Employee: $6.94
Employee + Spouse: $13.86
Employee + Children: $13.18
Employee + Family: $20.70
Plan Frequencies
Exam every 12 months
Lenses every 12 months
Frames every 24 months
Copayment for each member at the time of service
Exam - $15.00
Lenses and/or frames - $25.00
|
|
|
|
|
| Maximum Allowances |
|
Network Provider
(After copayments / Up to plan limits) |
|
Non-Network |
 |
| Eye Exam |
|
Paid in Full |
|
$35 |
|
Lenses
(per pair) |
| Single |
|
Paid in Full |
|
$25
|
|
| Bifocal |
|
Paid in Full |
|
$40 |
|
| Trifocal |
|
Paid in Full |
|
$60 |
|
| Lenticular |
|
Paid in Full |
|
$100 |
|
| Contact Lenses |
Elective
(fitting, follow-up, & lenses)
|
|
$120**
|
|
$120**
|
|
| Medically Necessary* |
|
Paid in Full |
|
$210
|
|
| Frame |
|
$50 wholesale
|
|
$40
retail |
|
| Lasik |
|
Members will receive a 10% off UCR charges at other preferred LASIK provider locations, and pay no more than $1,800 per eye for the Conventional LASIK procedure and $2,300 per eye for CustomLASIK. |
| |
*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.
**If you prefer contact lenses, the plan provides an allowance for your contacts instead of lenses and frames..
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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