Vision Insurance
Vision benefits are fully insured through National Vision Administrators (NVA).
Vision Insurance
Premium Contribution
| Tier | Company | Associate |
|---|---|---|
| Single | $1.38 | $1.38 |
| Two Person | $3.31 | $3.31 |
| Family | $4.14 | $4.14 |
Single
- Company
- $1.38
- Associate
- $1.38
Two Person
- Company
- $3.31
- Associate
- $3.31
Family
- Company
- $4.14
- Associate
- $4.14
Benefits Detail - Benefits available every calendar year
| Feature | NVA In-Network |
|---|---|
| Exam | $5 copay |
| Lenses (Single, bifocal, trifocal) | $10 copay |
| Frame | Up to $130 allowance; 20% discount on balance |
| Contact Lenses (elective-prescribed) In lieu of Lenses | Up to $130 Retail; Conventional: 15% discount on balance; Disposable: 10% discount on balance |
| Contacts (medically necessary) In lieu of Lenses | NVA Pre-approval required; No copay, paid in full |
Exam
- NVA In-Network
- $5 copay
Lenses (Single, bifocal, trifocal)
- NVA In-Network
- $10 copay
Frame
- NVA In-Network
- Up to $130 allowance; 20% discount on balance
Contact Lenses (elective-prescribed) In lieu of Lenses
- NVA In-Network
- Up to $130 Retail; Conventional: 15% discount on balance; Disposable: 10% discount on balance
Contacts (medically necessary) In lieu of Lenses
- NVA In-Network
- NVA Pre-approval required; No copay, paid in full
Important Plan Notes
- You will receive maximum benefits when you receive care from an In-Network NVA provider.
- To find a provider in your area, please visit the contacts page for telephone and website address information.
- You may receive care from a non-NVA provider, but you will have higher out-of-pocket costs.
- If you choose extra options, you will be responsible for paying the provider for the additional cost of those options.