Vision - 2024

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Vision Information

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Vision care services	See a participating provider	See a nonparticipating provider
Exam with dilation as necessary	$10 copay	$46 allowance
Contact Lens Fit and Follow-Up1
Standard Contact Lens Fit & Follow-Up Premium Contact Lens Fit & Follow-Up	Up to $55 10% off retail	not available
Retinal Imaging	Up to $39	not available
Frames
Discounts available on all frames except when prohibited by the manufacturer	$0 copay $150 allowance 80% of charge over $150	Up to $50
Standard plastic lenses
Single vision Bifocal Trifocal Standard Progressive Lens Premium Progressive Lens3 –Tier 1 –Tier 2 –Tier 3 –Tier 4 Lenticular	$25 copay $25 copay $25 copay $90 copay $110–$135 copay $110 copay $120 copay $135 copay $90 copay, 80% of charge less $120 allowance $25 copay	Up to $55 allowance Up to $75 allowance Up to $95 allowance Up to $75   Up to $75 Up to $75 Up to $75 Up to $75 Up to $95
Lens options
UV Treatment Tint (Solid and Gradient) Standard Plastic Scratch Coating Standard Polycarbonate Standard Polycarbonate–Kids under 19 Standard Anti-Reflective Coating Premium Anti-Reflective Coating3 –Tier 1 –Tier 2 –Tier 3 Photochromin/Transitions Polarized Other Add-Ons and Services	$15 $15 $15 $40 $40 $45 $57-$68 $57 $68 80% of charge $75 20% off retail price 20% off retail price	not available
Contact lenses (applies to materials only)
Conventional Disposable Medically necessary	$0 copay, $150 allowance, 15% off balance over $150 $0 copay, $150 allowance, plus balance over $150 $0 copay, paid in full	Up to $105 allowance Up to $105 allowance Up to $200 allowance
Laser Vision Correction
Lasik or PRK from U.S. Laser Network	15% off retail price or 5% off promotional price	not available
Frequency
Examination Lenses or contact lenses Frame	Once every 12 months Once every 12 months Once every 24 months	Same

¹Standard contact lens fitting: spherical clear contact lenses in conventional wear and planned replacement (examples include by not limited to disposable, frequent replacement, etc.)
​ Premium contact lens fitting: all lens designs, materials and specialty fittings other than standard contact lenses (examples include toric, multifocal, etc.)
² Frame, lenses, and lens option discounts apply only when purchasing a complete pair of eyeglasses. If purchased separately, members receive 20% off the retail price.
³ Premium progressives and premium anti-reflective designations are subject to annual review by EyeMed's Medical Director and are subject to change based on marked conditions. Fixed pricing is reflective of brands at the listed product level. All providers are not required to carry all brands at all levels.

Additional Discounts

• Members will receive a 20 percent discount on items not covered by the plan at network providers, which may not be combined with any other discounts or promotional offers. The discount does not apply to provider’s professional services or contact lenses. Retail prices may vary by location.
• Members receive a 40 percent discount off complete eyeglass purchases and a 15 percent discount off conventional contact lenses after the funded benefit has been used.
• Members receive 15 percent off retail price or 5 percent off promotional price for Lasik or PRK from the U.S. Laser Network, owned and operated by LCA Vision. Because Lasik or PRK vision correction is an elective procedure, performed by specially trained providers, this discount may not always be available from a provider in a member’s immediate location. For the nearest location and discount authorization, please call 1-877-5LASER6.
• After initial purchase, replacement contact lenses may be obtained via the Internet at competitive prices and mailed directly to the member. The contact lens benefit allowance is not applicable to this service.

Plan Limitations and Exclusions

• Lost or broken materials are not covered.
• Discounts do not apply for benefits provided by other group benefit plans. Allowances are one-time use benefits; no remaining balance.
• Orthoptic or vision training, subnormal vision aids, and any associated supplemental testing.
• Medical and/or surgical treatment of the eye, eyes, or supporting structures.
• Services provided as a result of any Worker’s Compensation law.
• Corrective eyewear required by an employer as a condition of employment, and safety eyewear unless specifically covered under plan.
• Benefit is not available on certain frame brands for which the manufacturer imposes a no-discount policy.
• Plano non-prescription lenses and non-prescription sunglasses (except for 20 percent discount).
• Services or materials provided by any other group benefit providing for vision care.
• Two pair of glasses in lieu of bifocals.
• Aniseikonic lenses.

2024	Full Time (30-40 hours) and Part Time (20-29 hours)
	Monthly
Employee	$9.04
Employee + One	$12.72
Employee + Family	$22.83

• Moran Eye Center LASIK Information Video
• Moran Eye Center Lasik and More
• Moran Eye Center Vision and Optical Services
• Moran Eye Center Kids' Eye Sight
• Moran Eye Center Contact Lens Program