Quick facts
Eye Exam (In-Network)
$10
Frame Allowance (In-Network)
$130 allowance, 20% off balance over $130
Standard Plastic Lenses - Bifocal (In-Network)
$15
Contact Lenses (Conventional, In-Network)
$150 allowance, 15% off balance over $150
Premium Contact Lens Fit and Follow-up (In-Network)
10% off retail
Standard Contact Lens Fit and Follow-up (In-Network)
Up to $55
Examination Frequency
Once every 12 months
Frame Frequency
Once every 24 months
More details (7)
Lenses or Contact Lenses Frequency
Once every 12 months
Standard Plastic Lenses - Lenticular (In-Network)
$15
Monthly Premium - Retiree + Family
$18.25
Monthly Premium - Retiree Only
$4.62
Monthly Premium - Retiree + 1
$13.64
Standard Plastic Lenses - Single Vision (In-Network)
$15
Standard Plastic Lenses - Trifocal (In-Network)
$15
Carrier contact
877-398-2980 — member services
Your member ID card: check the carrier website or app, or ask HR for a copy.
Plan documents
Confirm details with your carrier for current plan information.