Decision Guide - Your Vision Plan

To keep you seeing your best, the vision plan provides coverage for eye exams, frames, lenses and contact lenses. OptumHealth Vision administers the vision plan. You have flexibility in your choice of provider, but you receive the highest level of benefits when you use OptumHealth Vision providers.

How the Plan Pays

In-Network

Out-of-Network

Option 1

Option 2

You will be reimbursed up to:

Exam
every 12
months

100% after $15 copay

$40

Lenses* every 12 months

100% after $15 copay

100% after $15 copay (Includes tints, UV, anti- reflective coating, photochromatic, polycarbonate, transitions, edge coating and progressive lenses)

$40
single vision

$60
lined bifocal

$80
lined trifocal

$80
lenticular

Frames
every 24 months

Provides up to $50 for selected frames at private practice providers and $130 at retail chains

$45

Contact
lenses** every 12 months

100% after $15 copay for selected lenses and medically necessary contact lenses.

$150 elective

$210 medically necessary

*	One pair of standard single-lined bifocal or multi-focal lenses; standard scratch-resistant coating also covered.

**	In lieu of lenses and frames. Medically necessary contact lenses are covered for certain conditions and must be prescribed by a participating provider. Check with your provider for details.

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Locate an OptumHealth Vision Provider


With OptumHealth Vision, you have access to an extensive nationwide network of doctors who provide quality eyecare.

To find an OptumHealth Vision provider, go to OptumHealth Vision’s web site, or call 1-800-638-3120.

Thinking About Laser Vision Correction?


Lowe’s offers discounts on Lasik through QualSight. You’ll have access to a network of quality ophthalmologists and get services at half the national average cost. And, you don’t have to enroll in the Vision Plan to participate.

Call 1-877-507-4448 for details or to set up an appointment — your first consultation is free.

Enrolled in the Vision Plan? Compare the OptumHealth and QualSight Lasik discount pro-grams to see which is best for you.