VISION
Amerisight, Eye Med, and VSP Plans
Amerisight
LASIK Vision Correction Surgery
You will pay a nationally contracted rate of $935.00 per eye. If an additional procedure called custom LASIK is required, you will pay an additional $405 per eye. Please call 1-888-582-6696 for more information. Please identify yourself as Diversified Federal Groups.
- The entire program will be explained to you and any questions you have will be answered when you call to take advantage of the plan.
- The Care Manager will perform a preliminary screening to determine if you are a candidate for LASIK surgery.
- You must have healthy eyes.
- You must be 18 years of age.
- Your vision must be stable for at least one year prior to the procedure.
- You cannot be pregnant or nursing.
- You cannot have a degenerative or autoimmune disease since this affects healing.
- An appointment for a pre-operative exam will be made with a local network physician of your choosing at a convenient time.
- During the initial call with the care manager all financial aspects will be discussed.
- Finally the Care Manager will collect a refundable deposit of $225.00 per eye either by check, debit card or credit card.
- You will then have a pre-operative exam which includes a clinical screening to qualify you for the procedure and, if qualified, the procedure will be scheduled.
- On the day of the procedure the member will pay the remaining balance of the cost of the procedure, and the physician will submit an electronic claim directly to Amerisight for any added amounts due from your initial deposit.
- As required, one or more post-operative exams will be conducted by the physician and the Amerisight’s Care Manager will actively monitor your progress.
EyeMed Plan D
back to top
Provider Network: 40,000 providers at over 18,500 locations
Discount Range: 15% - 45% Savings
Exams with dilation as necessary: $10 off contact less exam / $5 off routine exam
Complete pair glasses purchase**: Frame, lenses and lens options purchased in same transaction.
- Single vision: $50
- Bifocal: $70
- Trifocal: $105
- Frames: Any frame available at provider locations
- UV Coating: $15
- Tint (solid and gradient): $15
- Standard Scratch Resistance: $15
- Standard Polycarbonate: $40
- Standard Progressive (add-on to bifocal): $65
- Standard Anti-Reflective Coating: $45
- Other Add-Ons and Services: 20% discount
- Contact Lenses (1): Discount applied to materials only
- Conventional: 15% off retail price
- Lasik or PRK: 15% off retail price or 5% off promotional price
- Examination: Unlimited
- Frame: Unlimited
- Lenses: Unlimited
- Contact Lenses: Unlimited
**The 35% discount is only available when a complete pair of glasses is purchased. Items purchased separately will be discounted 20% off of the retail price.
(1) After initial purchase, replacement contact lenses may be obtained via the Internet at substantial savings and mailed directly to the member. Details available at www.eyemedvisioncare.com. The contact lens benefit allowance is not applicable to this service.
Member will receive a 20% discount on items purchase at participating Providers not included under the plan coverage. 20% discount may not be combined with any other discounts or promotional offers, and the discount does not apply to Eyemed Provider’s professional services, or contact lenses. Retail prices may vary by location.
Not valid for groups domiciled in the state of Washington.
Plan Limitations / Exclusions:
- Orthoptic or vision training, subnormal vision aids and any associated supplemental testing.
- Medical and/or surgical treatment of the eye, eyes or supporting structures.
- Corrective eyewear required by an employer as a condition of employment and safety eyewear unless specifically covered by plan.
- Services provided as a result of any Worker’s Compensation law
- Plano non-prescription lenses and non-prescription sunglasses (except for 20% discount)
- Two pair of glasses in lieu of bifocals
VSP Plans
back to top
Access Plan
Discount Range:
Eye Examination: A discount of 20% off of the Member Doctor’s
Usual and Customary fee
Frames and Lenses:* A discount of 20% off of the Member Doctor’s Usual and Customary fee**
Contact Lenses:* A discount of 15% off of the Member Doctor’s
Usual and Customary fee**
Discounts apply to the purchase of complete pairs of prescription glasses only.
Discounts do not apply to vision care benefits obtained from Out-Of-Network Providers.
* Includes evaluation, design, fitting, and subsequent follow-up services
** Lenses must be prescription lenses. Discounts toward the purchase of materials may be obtained by the Covered Person within twelve (12) months of the examination from the Member Doctor who originally provided the examination.
EXCLUSIONS AND LIMITATIONS
NOT COVERED
There are no discounts for professional services or materials connected with:
- Solutions or cleaning products for spectacle glasses or contact lenses
- Low vision services and materials
- Orthoptics or vision training and any associated supplemental testing
- Plano lenses
- Medical or surgical treatment of the eyes
- Services and/or materials not indicated on this Schedule as Covered Plan Benefits
Key Features of VSP:
- Choose a doctor from the nation’s largest eye care doctor network
- Find a participating provider by calling toll-free (800) 877-7195 or log on to www.vsp.com
back to top
|
