The EyeMed Vision Care Program offered by EyeMed Vision Care provides discounts and benefits for glasses and contact lenses with services received from private ophthalmologists and optometrists, or retail providers. There are two different plan designs to choose from:
Benefits and discounts are given at the time of service or when a purchase is made.
EyeMed Vision Care offers a large network of providers, including top retail chains LensCrafters®, Target Optical®, and most Pearle Vision® locations.
The Vision Care Program is administered by EyeMed Vision Care. Enrollees can add or drop this plan only once a year, during the annual enrollment period held in the fall, with a coverage effective date of the following January. Once you are enrolled in the plan, your coverage will automatically roll over to the following plan years, unless you elect to cancel your coverage during Annual Enrollment periods.
The Program is designed to cover plastic or contact lenses once every 12 months, and frames once every 24 months. If you purchase your eyeglass lenses in-network, EyeMed Vision Care covers the full cost of basic lenses with no co-pay and covers optional treatments and lens upgrades with a range of co-pay amounts. Contact lenses can be purchased, instead of eyeglass lenses, with a $150 allowance towards your purchase and an additional 15% off the balance for conventional contact lenses. If contact lenses are medically necessary, the full cost for the contact lenses is covered. For frames purchased in-network, EyeMed provides an allowance up to $150 and 20% off the balance.
Discounts are also available on Laser Vision Correction procedures such as LASIK and PRK.
If you have previously completed your enrollment in the Vision Care Program and want to make a change to your coverage due to an IRS Permitted Election Change (“Life Event”), you may call 1-866-305-1043 to speak with a customer service representative to initiate the change. The change to your coverage must be consistent with the life event you've experienced. A change in coverage must be requested within 31 days of the life event. Allina may validate IRS Permitted Election Changes by requesting supporting documentation from you and will reverse any coverage change if the life event is determined to be invalid.
|IRS permitted election changes are as follows:|
|Legal Marital Status||Events that change an employee's legal marital status, including marriage, divorce, or death of a spouse.|
|Number of Dependents||Events that change an employee's number of dependents, including birth, adoption, or death of a dependent.|
|Employment Status||A termination or commencement of employment by an employee or his/her spouse or dependent.|
|Work Schedule||Events such as an unpaid FMLA or disability leave.|
|Gain or Loss of Dependent Eligibility||Events that cause an employee's dependent to satisfy or cease to satisfy requirements for coverage as provided under the plan.|
|Residence or Worksite||A change in the residence or work location of the employee, spouse or dependent.|
|Judgment/Court Order (QMCSO)||Events such as when a court order, judgment, or decree is issued, including a Qualified Medical Child Support Order requiring coverage for a dependent.|
|Medicare/Medicaid Entitlement||Events in which an employee, spouse or dependent becomes entitled to Medicare or Medicaid.|
Answers about the plan, including eligibility, options, enrollment, customer service and more.
What is covered through the program?
You can receive benefits and discounts for glasses and contacts. Under the program, you are eligible for lenses (eyeglass or contacts) once every 12 months, and eyeglass frames once every 24 months. If you visit an in-network provider, the program covers:
Additional Discounts Available:
30% discount on non-listed lens treatments
40% discount on additional complete eyeglass purchases
20% discount on non-prescription sunglasses
15% discount off the retail price or 5% off promotional price for LASIK or PRK procedures
*Discounts are not insurance. Discounts available at participating in-network providers.
Benefits are also available at non-participating providers; for a complete list of benefits, please refer to the summary of benefits.
When can I enroll?
Outside of your new hire enrollment period, enrollment is limited to the company's annual enrollment period.
If you have a qualifying family status change, you may make changes that are consistent with the family status change you experience throughout the year. Any change you make to your benefit coverage must be made within 30 days of the qualifying event; otherwise you will have to wait until the next open enrollment period.
Are online contact lens purchases covered under the program?
What happens to my vision insurance if I leave Ross or dd's?
What if I want to drop coverage in this program?
Who is eligible?
How do I locate an in-network provider near me?
How do I get a copy of the Certificate of Insurance?
Benefits are not provided from services or materials arising from:
Benefits may not be combined with any discount, promotional offering, or other group benefit plans.
Benefit allowance provides no remaining balance for future use within the same benefit year.
Underwritten by Fidelity Security Life Insurance Company of Kansas City, Missouri. Fidelity Security Life Policy number VC-132, form number M-9083. This is a snapshot of your benefits. The Certificate of Insurance is on file with your employer.