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Individual and Family Plans / ACA-Compliant Small Group Plans

EyeMed Vision - Additional Benefits

Protect Your Vision

An annual eye exam helps you ensure your health and well-being by spotting early warning signs for a variety of health conditions like diabetes and blood pressure.

With EyeMed through Network Health, all covered members of your Individual and Family Plan can have one annual eye exam for a $0 copayment, at a participating EyeMed provider. Please refer to your Summary of Benefits and Coverage (SBC) for more details. If you have questions about your benefit you can contact EyeMed at 866-939-3633 (TTY 711) Monday-Saturday from 6:30 a.m. - 10 p.m. and Sunday from 10 a.m. - 7 p.m.

EyeMed

Pediatric Vision Care Services

Routine eye exams and hardware for children up to age 19 are covered. Services will only be covered if received from an EyeMed Participating Practitioner.

Visit EyeMed’s website to find a pediatric vision provider.

Vision Care Details

Pediatric Vision Care Services

Lenses
  • Single vision, lined bifocal, lined trifocal or lenticular lenses covered in full
  • Polycarbonate lenses covered in full
  • Plastic covered in full
  • Scratch and UV covered in full
Frames*
  • Frames from a pediatric exchange collection are covered in full
Contact Lenses

In lieu of eyeglasses, elective contact lenses are covered in full with the following service limitations.

  • Extended Wear Disposables – up to 6 months supply of monthly or 2 week disposable, single vision spherical or toric contact lenses
  • Daily Wear / Disposables – up to 3 months supply of daily disposable, single vision spherical contact lenses
  • Conventional – 1 pair from selection of provider designated contact lenses

Medically necessary contact lenses are covered in full for members who have specific conditions for which contact lenses provide better visual correction.

Adult Vision Care Services

View the details below for information regarding the discounts EyeMed offers to Network Health Prestige Plan members.

Visit EyeMed's website to Find a Vision Provider

Vision Care Details

Vision Care Services

Member Cost

Standard plastic lenses
  • Single vision
  • Bifocal
  • Trifocal

 
$50
$70
$105

Frames*
  • Any frame available at provider location

 
35% off retail price

Lens Options
  • UV coating
  • Tint (solid and gradient)
  • Standard scratch-resistance
  • Standard polycarbonate
  • Standard anti-reflective coating

 
$15
$15
$15
$40
$45

Contact lenses
  • Disposable
  • Conventional

 
0% off retail price
15% off retail price

Laser Vision Correction
  • LASIK or PRK from U.S. Laser Network

 
15% off retail price or 5% off promotional price

*Frame, Lens, and Lens Option discounts apply only when purchasing a complete pair of eyeglasses. If purchased separately, members receive 20% off the retail price. 

Out-of-network/non-contracted providers are under no obligation to treat Network Health members, except in emergency situations. For more information about this benefit, please contact customer service at the number listed on the back of your member ID card. 

 

 


Network Health
1570 Midway Place
Menasha, WI 54952
Hours
Mon., Wed.-Fri.: 8 a.m. to 5 p.m.
Tuesday: 8 a.m. to 4 p.m.