Vision Benefits
Protect your vision with eye care coverage through Ameritas.
Vision Benefits
Vision Premiums - Vision Plan
| Coverage Tier | Semi-Monthly | Weekly |
|---|---|---|
| Employee Only | $3.20 | $1.48 |
| Employee + Spouse | $6.06 | $2.80 |
| Employee + Children | $6.56 | $3.03 |
| Family | $9.48 | $4.38 |
Employee Only
Semi-Monthly$3.20
Weekly$1.48
Employee + Spouse
Semi-Monthly$6.06
Weekly$2.80
Employee + Children
Semi-Monthly$6.56
Weekly$3.03
Family
Semi-Monthly$9.48
Weekly$4.38
Benefit Frequency
| Service | Frequency |
|---|---|
| Eye Exam | Once per 12 months |
| Standard Lenses | Once per 12 months |
| Frames | Once per 12 months |
| Contact Lenses | Once per 12 months |
Eye Exam
FrequencyOnce per 12 months
Standard Lenses
FrequencyOnce per 12 months
Frames
FrequencyOnce per 12 months
Contact Lenses
FrequencyOnce per 12 months
Coverage Detail
| Service | In-Network | Out-of-Network |
|---|---|---|
| Eye Exam with Dilation as Necessary | $10 copay | Up to $35 reimbursement |
| Single vision | $25 copay | Up to $25 reimbursement |
| Bifocal | $25 copay | Up to $40 reimbursement |
| Trifocal | $25 copay | Up to $65 reimbursement |
| Frames | $180 allowance + 20% off amount over allowance | Up to $90 reimbursement |
| Standard exam (Includes lens fitting and follow-up) | Up to $40 | Not covered |
| Premium exam (Includes lens fitting and follow-up) | 10% discount | Not covered |
| Medically necessary | $0 copay | Up to $200 reimbursement |
| Conventional | $180 allowance + 15% off amount over allowance | Up to $144 reimbursement |
Eye Exam with Dilation as Necessary
In-Network$10 copay
Out-of-NetworkUp to $35 reimbursement
Single vision
In-Network$25 copay
Out-of-NetworkUp to $25 reimbursement
Bifocal
In-Network$25 copay
Out-of-NetworkUp to $40 reimbursement
Trifocal
In-Network$25 copay
Out-of-NetworkUp to $65 reimbursement
Frames
In-Network$180 allowance + 20% off amount over allowance
Out-of-NetworkUp to $90 reimbursement
Standard exam (Includes lens fitting and follow-up)
In-NetworkUp to $40
Out-of-NetworkNot covered
Premium exam (Includes lens fitting and follow-up)
In-Network10% discount
Out-of-NetworkNot covered
Medically necessary
In-Network$0 copay
Out-of-NetworkUp to $200 reimbursement
Conventional
In-Network$180 allowance + 15% off amount over allowance
Out-of-NetworkUp to $144 reimbursement
Important Notes
- Ameritas using EyeMed Insight network
- To find in-network provider: Ameritas.com → Find a Vision Provider → Select Eyemed → Insight Network → enter zip code