Vision coverage is provided at no cost to all members enrolled in a State health plan. The plan is administered by EyeMed. All enrolled members and dependents receive the same vision coverage regardless of the health plan selected.
|Eye Exam||$30 copayment||$30 allowance||Once every 12 months|
|Vision Lenses*||$30 copayment||$50 allowance for single vision||Once every 12 months|
|(single, bifocal, & trifocal)||$80 allowance for bifocal and trifocal lenses|
|Standard Frames||$30 copayment (up to $175 retail frame cost; member responsible for balance over $175)||$70 allowance||Once every 24 months|
|Contact Lenses (all contact lenses are in lieu of vision lenses)||$120 allowance||$120 allowance||Once every 12 months|
*Vision lenses: Member pays all optional lens enhancement charges. In-network provisers may offer additional discounts on lens enhancements and multiple pair purchase.
**Out-of-network claims must be filed within one year from the date of service.
PO Box 8504, Mason, OH 45040-7111