Page 9 - Florida Aquarium Benefits-at-a-Glance Guide 2022-2023

Vision

The Florida Aquarium offers vision through Humana. The Humana vision network consists of optometrists, ophthalmologist opticians and optical retailers.
You have the option of visiting any provider, however by choosing a participating provider, you receive the highest level of benefits.

Vision

In-Network Out-of-Network
Routine Eye Exams $10 Copayment $30 Allowance
Lenses
Single $10 Copayment $25 Allowance
Bifocal $10 Copayment $40 Allowance
Trifocal $10 Copayment $60 Allowance
Lenticular $10 Copayment $100 Allowance
Lens Upgrades
$10 Copayment
Tier 1: $75 Copayment
Standard Progressive Lenses Tier 2: $85 Copayment $40 Allowance
Tier 3: $100 Copayment
Tier 4: $120 Allowance
Premium Progressive 55 Copay + 20% Discount $40 Allowance

$150 allowance
Frames $80 Allowance
+ 20% discount on amount over allowance*
Contact Lenses
Elective $150 allowance + 15% Discount $128 Allowance
Conventional
$150 allowance $128 Allowance
Disposable
Medically Necessary Covered 100% $210 Allowance
Frequency
Exam Once every 12 months
Lenses or contact lenses Once every 12 months
Frame Once every 24 months

Employee Cost Per Pay Period

Employee Only $ 0.00

Employee + Spouse $ 2.69
Employee + Child(ren) $ 3.14
Family $ 6.05

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