Vision Plan

The City provides all benefits-eligible employees with an annual eye exam for a $10 copay at one of EyeMed's participating providers.

You can purchase additional vision coverage for yourself and your eligible family members, which covers eye exams, lenses, frames and contacts through EyeMed. Visit www.EyeMedVisionCare.com to locate network providers and choose "Select" for your network option.

VISION PLAN AT A GLANCE

	In-network (through EyeMed providers)	Out-of-network (through other providers)
YOU PAY
Annual deductible	$0
THEN THE PLAN PAYS
Eye exams (once every 12 months)
	100% after $10 copay	Up to $35
Frames (one pair every 24 months)
	Up to $130 retail allowance	Up to $50
Lenses (one pair every 12 months)
Single vision lenses Bifocals Trifocals Lenticular	100% after $25 copay 100% after $25 copay 100% after $25 copay 100% after $25 copay	Up to $40 Up to $60 Up to $80 Up to $80
Contact lenses (one pair every 12 months in lieu of lenses)
Conventional Disposables Medically necessary	Up to $125 Up to $125 100%	Up to $125 Up to $125 Up to $210

OTHER VISION DISCOUNTS

EyeMed network providers also offer discounts on additional eyewear, eye care supplies like cleaning cloths and solutions, and replacement contact lens purchases. You can save from 5%-15% on laser vision correction, such as LASIK, PRK and e-LASIK procedures, at U.S. Laser Vision network surgeons.

Vision Plan

Employee Benefits and Risk Mgmt. Director