Vision
Your vision coverage is provided through Guardian using the Davis Vision network, helping you keep your eyes healthy with affordable exams, lenses, frames, and contacts.
Your vision coverage is provided through Guardian using the Davis Vision network, helping you keep your eyes healthy with affordable exams, lenses, frames, and contacts.
| Benefit | In-Network | Out-of-Network |
|---|---|---|
| Eye Exam | $20 copay; Once every calendar year | Reimbursed up to $50 |
| Single Vision Lenses | $20 copay; Once every calendar year | Reimbursed up to $48 |
| Bifocal Lenses | $20 copay | Reimbursed up to $67 |
| Trifocal Lenses | $20 copay | Reimbursed up to $86 |
| Frames | 80% of amount over $130 allowance; Once every calendar year | Reimbursed up to $48 |
| Contact Lens Fitting | $20 copay (standard fit and follow up) | Reimbursed up to $50 |
| Conventional Contacts | 85% of amount over $130 allowance | Reimbursed up to $105 |
| Disposable Contacts | 85% of amount over $130 allowance | Reimbursed up to $105 |
| Medically Necessary Contacts | Covered in Full | Reimbursed up to $210 |
Exam Copay: The flat fee you pay for your annual comprehensive eye exam.
Frame Allowance: The dollar amount your plan covers toward eyeglass frames. You pay the difference if your frames cost more.
Contact Lens Allowance: The dollar amount your plan covers toward contact lenses, used instead of the frame allowance.
In-Network Provider: An eye care professional who participates in your plan's network, offering services at pre-negotiated rates.
