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Standard Vision
Routine vision exams are important, not only for correcting vision but because they can
detect other serious health conditions.
The Standard Vision
Network: EyeMed Access Network
In-Network
Out-Of-Network
Deductibles
Exam
Annual Eye Exam
$10 Exam
No Deductible
$25 Eye Glass Lenses
Up to $35
Annual Eye Exam
Lenses (Per Pair)
Single
Covered in full
Up to $25
Bifocal
Covered in full
Up to $40
Trifocal
Covered in full
Up to $55
Lenticular
20% discount
No Benefit
Progressive
See lens options
N/A
Contacts
Fit & Follow Up Exam
Standard
Up to $55
No benefit
Premium (Allowance)
10% off of retail
No benefit
Elective
Up to $115
Up to $100
Medically Necessary
Covered in full
Up to $200
Frames
$110
Up to $45
Frequencies (months)
Exam
Every 12 Months
Lens
Every 12 Months
Frame
Every 24 Months
Lens Options (Participant Cost)
Progressive Lenses
Standard
$65 + Lens
deductible
No benefit
Premium
Lens cost – 20%
discount - $120
allowance + Standard
Progressive Cost
Std. Polycarbonate
$40
Tint (solid and gradient)
$15
Scratch Resistant Coating
$15
Anti-Reflective Coating
$45
Ultraviolet Coating
$15
Lasik or PRK
Average discount of
15% off retail price or
5% off promotional
price at US Laser
Network participating
providers
Take care of your
eyes!
Get an eye exam if you
experience:
Sudden blurry vision
or problems
focusing
Red, dry, itchy eyes
You see spots,
flashes of light, or
floaters
You get motion sick,
dizzy or have
headaches
Eye pain or eye
fatigue/strain
Squinting or
sensitivity to light