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®, Sears Optical®, 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 the cost of the EyeMed Vision Care Program?
These are the monthly costs for coverage starting January 1, 2014.
The EyeMed Vision Care program is available to employees-only, employee plus one or two family members (Employee +1 and Employee +2), or everyone in your family. The monthly costs are:
|Tier||Monthly premium for plan without eye exam||Monthly premium for plan with eye exam|
|Employee + Family||$21.23||$25.99|
What is covered through the plan?
You can receive benefits and discounts for glasses and contacts. Under the plan, 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, EyeMed Vision Care covers:
Please note, Allina Health and Aspen locations are out-of-network providers.
What are the differences between the two available plan designs?
The vision program offers two plan designs to choose from. One plan design includes an eye exam. The other plan design does not offer an eye exam. All other features and coverages remain the same between the two plan designs.
After enrolling in coverage, will I receive ID cards?
After enrolling, members will receive two punch-out ID Cards from EyeMed. Both cards will contain the primary member's name, but can be used by any dependents on that member's plan. Members and dependents do not have to present an ID card at the time of receiving coverage as long as they are visiting an in-network provider. If any dependent wishes to have an ID card in their own name, they may call EyeMed to request.
Are online contact lens purchases covered under the program?
EyeMed benefits cannot be applied towards online purchases. You must visit a provider to receive the allowance and any applicable discount.
As a convenience, EyeMed does offer a website where you may order replacement lenses - www.eyemedcontacts.com. You would need a valid prescription and the name of the doctor visited as all prescriptions are validated. Although online purchases are not eligible for benefits under the plan, contacts are delivered directly to your home and turnaround is fairly quick.
How do I enroll for coverage?
Click on the “Enroll Now” button.
What if I want to drop coverage in this plan?
Outside of your new hire enrollment period, enrollment is limited to the company's annual enrollment period.
If you have a qualifying life event, 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.
What happens to my vision insurance if I leave Allina Health?
This plan is not available for employees to keep upon separation of employment with Allina Health.
When can I enroll?
As a new hire, you can enroll at anytime within 45 days of your date of hire. Outside of your new hire enrollment period, enrollment is limited to the Allina Health annual enrollment period. When you enroll, you are enrolling for the full plan year and must remain in the plan until the next annual enrollment period.
The Voluntary Programs are an arrangement that allows Allina Health employees to buy insurance on an employee-pay-all basis. The programs, other than the Group Legal Plan, are not Allina Health-sponsored employee benefit plans, and you are under no obligation to participate in any of the Voluntary Programs if they do not meet your needs. Allina Health provides access to these Programs and the convenience of paying for your purchases through after-tax payroll deduction. Allina Health may suspend or end the payroll deductions at any time.
Underwritten by Fidelity Security Life Insurance Company of Kansas City, Missouri, except in New York. This is a snapshot of your benefits. The Certificate of Insurance is one file with the employer.