VISION PLAN

Go to Benefits Home Page » Vision Plan Documents and Links EyeMed Provider Locator Link EyeMed Base Certificate of Coverage [PDF] EyeMed Buy-Up Certificate of Coverage [PDF] For more information please call Risk Management at 215-2111. The City provides all benefits-eligible employees with an annual eye exam for a $10 copay at one of EyeMed's participating providers. You can purchase additional vision coverage for yourself and your eligible family members, which covers eye exams, lenses, frames and contacts through EyeMed. Visit www.eyemedvisioncare.com to locate network providers. Vision Plan at a glance:   In-network (through EyeMed providers) Out-of-network (through other providers) YOU PAY Annual deductible $0 THEN THE PLAN PAYS Eye exams (once every 12 months)   100% after $10 copay Up to $35 Frames (one pair every 24 months)   Up to $130 retail allowance Up to $50 Lenses (one pair every 12 months) Single vision lenses Bifocals Trifocals Lenticular 100% after $25 copay 100% after $25 copay 100% after $25 copay 100% after $25 copay Up to $40 Up to $60 Up to $80 Up to $80 Contact lenses (one pair every 12 months in lieu of lenses) Conventional Disposables Medically necessary Up to $125 Up to $125 100% Up to $125 Up to $125 Up to $210 Other vision discounts EyeMed network providers also offer discounts on additional eyewear, eye care supplies like cleaning cloths and solutions, and replacement contact lens purchases. You can save from 5%-15% on laser vision correction, such as LASIK, PRK and e-LASIK procedures, at U.S. Laser Vision network surgeons.