- Insurance Copays And Deductibles
- Materials Copay Vision Insurance Plans
- Vsp Materials Copay
- Materials Copay Vision Insurance
Learn More
Watch this brief video to learn more about your Vision Plan coverage and benefits offered through UnitedHealthcare.
Questions About the Plan?
If you have questions about the vision care plan or would like to find a network provider, you may visit myuhcvision.com or call 1-800-638-3120.
Just over 76% of adults use either glasses or contacts according to a 2016 report by The Vision Council, with glasses costing anywhere from $50 to $1,000. Vision insurance typically covers some of the costs of services (such as eye exams) and prescription eyewear, but rarely pays for everything 100%. UnitedHealthcare Vision Plan 1-866-249-1999 or TTY 711 2021. Federal Employees Dental and Vision Insurance Program. Additional pair of glasses in accordance with their Plan’s materials copay and design benefit. Save even more by using one of our in-network providers for your vision care. Benefits include: Annual vision exam. Yearly allowance toward standard contact lenses— or— a set of eyeglass lenses with low copay. Options for specialty eyeglass lenses (progressive bifocals, anti-scratch, tinted, etc.) Frame allowance every 12–24 months. Annual Examination: $15.00 Copay; Materials: $25 Copay; No deductibles; No waiting periods; No Copay for Contacts; Your choice of network providers; One pair of standard frames each 24 months; One pair of single vision of standard lined multi-focal lenses (or) Contact lenses each 12 months; Benefits provided In and Out of Network.
While Duke's medical plans provide coverage for annual eye exams, Duke also offers a nationwide vision care plan to manage the cost of eyeglasses and contact lenses, as well as eye examinations. The vision plan, administered by UnitedHealthcare Vision, allows you to pay for vision benefits on a pre-tax basis. You do not need to be enrolled in any of Duke's medical plans to participate in the vision plan.
For further details about the vision plan, please refer to the Vision Care Plan Chart, the Vision Care Premiums, and/or the Vision Care Plan certificate.
Vision Plan Coverage through UnitedHealthcare Vision
The vision care plan provides coverage for prescription lenses and frames, contact lenses (in lieu of eyeglasses), and a complete annual eye exam for a low monthly premium.
Under the plan, you can visit an optometrist or ophthalmologist within the UnitedHealthcare Vision network or you may choose to visit an out-of-network provider, which may result in higher out-of-pocket costs. If you visit an out-of-network provider, you must submit a claim to be reimbursed.
The vision plan covers:
Insurance Copays And Deductibles
- One vision exam every 12 months ($30 co-pay in network)
- Eyeglass lenses or contacts once every 12 months ($20 materials co-pay)
- Frames once every 24 months (covered in full up to $150 allowance)
If you have questions about the vision care plan or would like to find a network provider, you may call (800) 638-3120 or visit the Find a Network Provider website.
Note: The Duke Eye Center is not a participating member of the UnitedHealthcare Vision network for eye exams. However, your Duke medical plan provides coverage for an annual eye exam at the Duke Eye Center and you are able to use the vision plan with out-of-network providers. Additionally, the Eye Care Associates store at the Duke Eye Center accepts the vision plan insurance coverage for the purchase of frames and lenses.
For more information, please see the Summary Plan Description.
Eyeing the Costs
Below is an at-a-glance comparison of how your out-of-pocket expenses may vary depending on whether you have vision care coverage.
| Service | For a person purchasing with Duke's Vision Insurance at a network provider | For a person purchasing at a retail chain with no insurance |
|---|---|---|
| Comprehensive eye exam with refraction | $30 | $140 |
| Material co-pay | $20 | $0 |
| Designer frames | $0 | $150 |
| Progressive bifocal lens with anti-reflective coating | $0 | $263 |
| Transition tinting to darken lenses in sunlight | $0 | $104 |
| Annual Premium ($115) for individual | $115 | $0 |
| TOTAL ANNUAL OUT-OF-POCKET EXPENSE | $165 | $657 |
Source: UnitedHealthcare
How Unum Vision Insurance works
Flexible plan packages designed to fit any need
Materials Copay Vision Insurance Plans
- Full-service plans covering materials and exams
- Exam-only plans
- Materials-only plans
- Safety eyewear rider available for groups of 250 or more enrolled employees in select industries
- Custom plans
Easy access to care at popular providers across the nation
Vsp Materials Copay
Our vision network offers members access to convenient, quality care with more than 40,000 vision access points, including independent optometrists and retail stores like Walmart, Sam’s Club, JCPenney, Sears Optical, America’s Best and many more.
Standard plan benefits
| Covered service | Benefit |
|---|---|
| Eye exams (Once every 12 months) | Each member is entitled to a comprehensive eye exam for a low exam co-pay at any location they choose. |
| Eyeglass lenses (Once every 12 or 24 months) | Single vision, bifocal and trifocal lenses are covered in full by materials co-pay. Generous allowances for lenticular and progressive lenses. |
| Eyeglass frames (Once every 12 or 24 months) | Members may choose any frame with no brand restrictions. Frame allowances are applied toward the purchase of any frame in a provider's collection. |
| Contact lenses (Once every 12 or 24 months) | Members may elect contact lenses in lieu of glasses with no brand restrictions.1 The contact lens allowance may also be applied toward any professional fitting fee. |
| LASIK surgery | Discounts are available with participating providers. This is not an insured benefit. |
For illustrative purposes. Actual coverage amounts may vary by plan.
- Material co-pays are deducted from allowances. New enhanced plans offer a separate contact lens fitting fee benefit with low co-pays.
The policy or its provisions may vary or be unavailable in some states. The policy has exclusions and limitations which may affect any benefits payable. For complete details of coverage and availability, please refer to the actual policy or your Unum representative for specific provisions and details of availability.
Materials Copay Vision Insurance
Vision plans are marketed by Unum, administered and underwritten by Starmount Life Insurance Company.