Vision Coverage
All Officers and their covered dependents enrolled in any of the University’s medical plans are covered by a
basic vision benefit through UnitedHealthcare (UHC). This embedded plan provides coverage for eye exams,
corrective lenses, frames and contact lenses.
OPTIONAL VISION PLAN
For enhanced vision benefits, Officers can elect to purchase optional UHC vision coverage in place of the basic
vision coverage for themselves and their covered dependents. You do not have to be enrolled in a medical
plan to purchase this coverage. See contributions insert for monthly rates.
Vision Plan Comparison Chart
Benefit
UHC Basic Vision Coverage UHC Optional Vision Plan
High Deductible Health Plan Choice Plus Plans
In-Network Coverage Out-of-Network Coverage
Benefits apply both In-Network and Out-of-Network
Routine Eye
Exams
Adults: One exam every
12mo
nths; plan pays 90%
after in-network deductible,
no copay
Child(ren):* One exam every
12 months; plan pays 90%
after in-network deductible,
no copay
Adults: One exam every
12mo
nths with a $10 copay
Child(ren):* One exam every
12 mo
nths with a $10copay
Adults: One exam every
12mo
nths with a $10 copay.
For pregnant/breastfeeding
women and individuals with
diabetes, two exams every
12months with a $10 copay
Child(ren):* One exam
eve
ry 12 months plus one
additional exam ages (0-12)
with a $10 copay
Adults: One exam every
12mo
nths, plan pays up
to $40. For pregnant/
brestfeeding women and
individuals with diabetes, two
exams every 12months, plan
pays up to $40 per exam
Child(ren):* One exam
every 12 months plus one
additional exam ages (0–12);
plan pays up to $40 per exam
Lenses
Adults: $100 allowance every
12 m
onths (combined for
lenses, frames and contact
lenses)
Child(ren):* One pair of
eyeglasses (lenses and frames)
OR one pair of contact lenses
(or a 12-month supply) every
12months with a $75 copay.
More frequently if medically
necessary (for spectacle or
contact lenses only)
Adults:*
* Every 24 months,
$20 allowance for single
lenses, $30 for bifocal,
$40 for trifocal or $75 for
lenticular
Child(ren):* Lenses covered
in fu
ll every 12 months.
More frequently if medically
necessary
Adults: Plan pays 100% every
12 months for single vision,
lined bifocal, lined trifocal, or
lenticular, including standard
scratch coating. Additional costs
apply for progressive lenses
Child(ren):* Plan pays
100% every 12 months
for polycarbonate lenses,
including standard scratch
coating. Replacement frames
available if prescription
change of 0.5dipter or more
Adults and Child(ren)*:
Every 12 months, up to $40
allowance for single lenses,
up to $60 for lined bifocal,
up to $80 for lined trifocal
or up to $80 for lenticular
Frames
Adults:*
* $
30 allowance
eve
ry 24 months
Child(ren):* Up to $100 every
12months. Cost above $100
covered at 60%
Adults and Child(ren)*:
$130 allowance every
12months. Cost above $130
may be covered at 30% at
participating providers***
Adults and Child(ren)*:
Up to $45 allowance every
12months
Contact
Len
ses
Adults:** $75 allowance every
24 months
Child(ren):* Single purchase
of a pair of contact lenses or
1 bo
x of contact lenses per
eye covered at 100% every
12months
Adults and Child(ren)*: Up to
4 boxes for covered formulary
contacts, including the fitting/
evaluation fees and up to 2
follow-up visits covered in
full. $130 allowance for non-
formulary contacts, 100% for
medically necessary contacts
Adults and Child(ren)*:
$130 allowance for elective
contacts, up to $210 allowance
for medically necessary
contacts
Laser Vision
Disc
ount
N/A
Access to discounted laser vision correction through QualSight
LASIK; savings of up to 35% of national average price
8
* Child is defined as a member less than age 19.
** Available for either frames and lenses or contact lenses.
*** 30% discount available at most participating provider locations (in network)
—
may exclude certain frame manufacturers.
Note: Provider might require payment in full at the time of service. The patient then submits a claim to UHC for reimbursement.
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To search for a vision provider, log in to myuhc.com; click “Coverage & Benefits”, “Vision”, then “Vision
benefit highlights”. You will be taken to the UHC Vision website. Click “Find a Provider” to search.