Vision
Healthy eyes and clear vision are an important part of your overall health and quality of life. You may enroll yourself and your eligible dependents or you may waive vision coverage. You do not have to be enrolled in medical coverage to elect vision coverage or cover the same dependents under medical and vision.
Although vision care services and supplies are covered in-network and out-of-network, your benefits are generally greater when you use in-network providers. Your costs are based on the family members you choose to cover.
To find network providers, visit eyemed.com and choose “Insight Network.” You also can save using the Plus Provider network – a narrow network with discounts from Plus Providers. Search providers in your area to see if they are in the Provider Plus network.
Vision Plan
You always pay the deductible and copayment ($). The coinsurance (%) shows what you pay after the deductible. To see more details, including what the plan reimburses you when you go out-of-network, download the full vision chart at MyWeisBenefits.com.
Benefit Highlights
In-Network (Plus Providers)
Exams
$0
Single Vision Lenses
$10
Bifocal Lenses
$10
Trifocal Lenses
$10
Frames
20% off balance over $170 allowance
Contacts (in lieu of glasses)
15% off balance over $120 allowance
Elective
$0 up to $120
Medically Necessary
Paid in full
Fit and Follow-up – Standard
$0 copay
Fit and Follow-up – Premium
10% off retail, then $40 allowance
Laser Vision Correction
15% off retail or 5% off promo price
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 12 months
Contacts
Once every 12 months
In-Network
Exams
$10
Single Vision Lenses
$10
Bifocal Lenses
$10
Trifocal Lenses
$10
Frames
20% off balance over $120 allowance
Contacts (in lieu of glasses)
15% off balance over $120 allowance
Elective
$0 up to $120
Medically Necessary
Paid in full
Fit and Follow-up – Standard
$0 copay
Fit and Follow-up – Premium
10% off retail, then $40 allowance
Laser Vision Correction
15% off retail or 5% off promo price
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 12 months
Contacts
Once every 12 months
Out-of-Network Reimbursement
Exams
Up to $35
Single Vision Lenses
Up to $25
Bifocal Lenses
Up to $40
Trifocal Lenses
Up to $55
Frames
Up to $60
Contacts (in lieu of glasses)
Up to $96
Elective
$0 up to $196
Medically Necessary
Up to $200
Fit and Follow-up – Standard
Up to $40
Fit and Follow-up – Premium
Up to $40
Laser Vision Correction
N/A
Frequency
Exams
Once every 12 months
Lenses
Once every 12 months
Frames
Once every 12 months
Contacts
Once every 12 months
Weekly Plan Cost
Associate Only: $1.54
Associate + 1: $2.93
Family: $4.31
