CBU offers you vision coverage through EyeMed. EyeMed Vision Care's network consists of private practice optometrists, ophthalmologists, opticians, and optical retailers such as LensCrafter, Pearle Vision and Target Optical locations.
Vision Benefits | In-Network | Out-of-Network Reimbursement | |
---|---|---|---|
Exam Services | |||
Eye Exam | $10 copay | Up to $35 | |
Retinal Imaging | Up to $39 | Not covered | |
Frames | |||
Frames | $0 copay; 20% off balance over $130 allowance | Up to $65 | |
Lenses | |||
Single Vision | $25 copay | Up to $35 | |
Bifocal | $25 copay | Up to $49 | |
Trifocal | $25 copay | Up to $74 | |
Lenticular | $25 copay | Up to $74 | |
Progressive - Standard | $90 copay | Up to $49 | |
Progressive - Premium | $90 copay; 20% off retail price less $120 allowance | Up to $49 | |
Contact Lenses (in lieu of glasses) | |||
Contact Lens Fit & Follow Up - Standard | Up to $40 | Not covered | |
Contact Lens Fit & Follow Up - Premium | 10% off retail price | Not covered | |
Conventional | $0 copay; 15% off balance over $130 allowance | Up to $104 | |
Disposable | $0 copay; 100% of balance over $130 allowance | Up to $130 | |
Medically Necessary | $0 copay; Paid in Full | Up to $200 | |
Frequency | |||
Eye Exams | Once every 12 months from the date of service | ||
Lenses or Contact Lenses | Once every 12 months from the date of service | ||
Frames | Once every 24 months from the date of service |
Coverage Level | Vision Plan |
---|---|
Employee Only | $0.00 |
Employee + Spouse | $2.32 |
Employee + Child(ren) | $3.75 |
Employee + Family | $5.16 |
The information contained in this website should in no way be construed as a promise or guarantee of employment. The company reserves the right to modify, amend, suspend, or terminate any plan at any time for any reason. If there is a conflict between the information in this website and the actual plan documents or policies, the documents or policies will always govern. Complete details about the benefits can be obtained by reviewing current plan descriptions, contracts, certificates, policies and plan documents available from your Human Resources Office.