Page 17 - Zenoss, Inc 2022 Flipbook
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Vision plan – UnitedHealthcare
The vision plan provides coverage for routine eye exams and pays for all or a portion of the cost of glasses or contact
lenses. You can choose any provider; however, you always save money if you see in-network providers. We offer a vision
plan option through UnitedHealthcare.
In-Network Out-of-Network
(Reimbursement Only)
Routine/Comprehensive Eye Exam $10 Copay Up to $40
Lenses – Single/Bifocal/Trifocal, once every 12 months $10 Copay Up to $40/$60/$80
$130 Allowance + 30% over
Frames – 1 pair of frames every 12 months Up to $45
allowance
Contacts (Elective) – every 12 months $125 Allowance Up to $100
Medically Necessary Contacts $0 Copay Up to $210
Plan includes a second exam for children under age 13 and pregnant or breastfeeding women (after applicable copayment).
See benefit summary/policy for more coverage details.
Discounts are available on additional pairs of glasses (at participating providers), LASIK, hearing aids, as well as contact lenses
(uhccontacts.com).
You can locate an in-network provider by visiting www.myuhc.com; the network name is Spectera.
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