Page 12 - HIMSS 2021 Annual Benefits Enrollment

VISION PLAN LASIK DISCOUNTS AVAILABLE

You may elect vision care coverage through EyeMed, Save 15% discount off of retail price or
which provides quality vision care nationwide. Although 5% off a promotional price through U.S.
vision care services and supplies are covered in-network Laser Network. To locate a provider,
and out-of-network, your benefits are generally greater call 877-5LASER6.
when you use in-network providers.

VISION PLAN

PARTICIPATING PROVIDER NON-PARTICIPATING PROVIDER
YOU PAY REIMBURSEMENT
COST

Exam $10 Up to $35
Contact Lens Evaluation & Fitting $40 N/A
COVERED SERVICES – LENSES AND FRAMES
Single Lenses $10 copay Up to $25
Bifocals $10 copay Up to $40
Trifocals $10 copay Up to $60
Frames 80% of balance over $120 Up to $48
allowance
COVERED SERVICES – CONTACTS IN LIEU OF FRAMES/LENSES
Contacts – Medically Necessary $0 Up to $200

Contacts – Elective 15% of balance over $135 Up to $95
allowance
BENEFIT FREQUENCY
Exams Once every 12 months Once every 12 months
Lenses Once every 12 months Once every 12 months
Frames Once every 24 months Once every 24 months
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