HumanaVision EyeMed Plan: Advantage

EyeMed Advantage

Vision care services	See a participating provider	See a nonparticipating provider
Exam with dilation as necessary	$10 copay	$35 allowance
Contact lens exam options*
Standard contact lens fit and follow-up	not available	not available
Premium contact lens fit and follow-up	not available	not available
Frames**
Discounts available on all frames except when prohibited by the manufacturer.	$35% off retail price	not available
Standard plastic lenses
Single vision	$50 copay	not available
Bifocal	$75 copay	not available
Trifocalp	$105 copay	not available
Lens options
UV coating	$15 copay	not available
Tint (solid and gradient)	$15 copay	not available
Standard scratch-resistance	$15 copay	not available
Standard polycarbonate‡	$40 copay	not available
Standard anti-reflective coating	$45 copay	not available
Standard progressive (add-on to bifocal)	$65 copay	not available
Other add-ons and services	20% off retail price	not available
Contact lenses (applies to materials only)
Conventional	15% off retail price	not available
Disposable	not available	not available
Medically necessary	not available	not available
Frequency
Examination	Once every 12 months	Once every 12 months
Frame	Unlimited	Unlimited
Lenses or contact lenses	Unlimited	Unlimited

* Standard contact lens fitting: spherical clear contact lenses in conventional wear and planned replacement (examples include but not limited to disposable, frequent replacement, etc.)
Premium contact lens fitting: all lens designs, materials and specialty fittings other than standard contact lenses (examples include toric, multifocal, etc.)
** Frame, lenses, and lens option discounts apply only when purchasing a complete pair of eyeglasses. If purchased separately, member receive 20% off the retail price.