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 |
|---|---|---|
| Examination | $10 copay | Up to $35 |
| Single Vision Lenses | Covered in full | Up to $25 |
| Bifocal Lenses | Covered in full | Up to $40 |
| Trifocal Lenses | Covered in full | Up to $65 |
| Standard Contact Exam | Up to $40 (includes lens fitting and follow up) | No reimbursement |
| Premium Contact Exam | 10% discount | No reimbursement |
| Conventional Contact Lenses | $180 allowance | Up to $144 |
| Necessary Contact Lenses | $0 copay | Up to $200 |
| Frames | $180 allowance | Up to $90 |
Examination
In-Network$10 copay
Out-of-NetworkUp to $35
Single Vision Lenses
In-NetworkCovered in full
Out-of-NetworkUp to $25
Bifocal Lenses
In-NetworkCovered in full
Out-of-NetworkUp to $40
Trifocal Lenses
In-NetworkCovered in full
Out-of-NetworkUp to $65
Standard Contact Exam
In-NetworkUp to $40 (includes lens fitting and follow up)
Out-of-NetworkNo reimbursement
Premium Contact Exam
In-Network10% discount
Out-of-NetworkNo reimbursement
Conventional Contact Lenses
In-Network$180 allowance
Out-of-NetworkUp to $144
Necessary Contact Lenses
In-Network$0 copay
Out-of-NetworkUp to $200
Frames
In-Network$180 allowance
Out-of-NetworkUp to $90
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
- Sight Protect Safety Glasses program available at www.sight-protect.com (866.798.9192)
- Employees will be able to visit up to 4,000 eye care providers including Lenscrafters, Pearle Vision, and Target Optical.