HumanaVision: EyeMed Optimum

EyeMed Optimum

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	Up to $55	not available
Premium contact lens fit and follow-up	10% off retail	not available
Frames**
Discounts available on all frames except when prohibited by the manufacturer.	$130 allowance, 20% off balance over $130	$65 allowance
Standard plastic lenses
Single vision	$0 copay	$25 allowance
Bifocal	$0 copay	$40 allowance
Trifocalp	$0 copay	$55 allowance
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	$130 allowance, 15% off balance over $130	$104 allowance
Disposable	$130 allowance	$104 allowance
Medically necessary	$0 copay, paid-in-full	$200 allowance
Frequency
Examination	Once every 12 months	Once every 12 months
Frame	Once every 24 months	Once every 24 months
Lenses or contact lenses	Once every 12 months	Once every 12 months

* 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.)
‡ Standard polycarbonate available at no charge to dependents to 19 years old. All other members pay a fixed charge of $40.