Human Resource Services

Vision Insurance

Non-Statutory Employees covered under the Univera Medical Plan
Benefit Name In Network Out of Network Limits and Additional Information
Adult Eye Exams- Routine Covered in Full 25% Co-Insurance Subject to Deductible

1 Exam per contract year

Limits are combined INN and OON

Adult Eyewear- Routine Covered Covered

$100 Reimbursement per year

Limits are combined INN and OON

Pediatric Eye Exams- Routine Covered in Full 25% Co-Insurance Subject to Deductible

1 Exam per contract year

Limits are combined INN and OON

Pediatric Eyewear- Routine 50% Coinsurance Subject to Deductible 50% Coinsurance Subject to Deductible

1 pair per plan year

Limits are combined INN and OON

At the eye doctor you will show them your Univera medical card to be able to process your claim.

Any eye doctor claims will count towards your medical deductible with Univera.

Statutory (NYS College of Ceramics) Employees and Others
Image result for eyemed logo

1. Visit Site

2. Find a Provider

3. Enter a Zip Code

4. Choose Network: Select

Once employees have their Eye Med card you will be able to register for access to the site to track claims.

Statutory employees are not offered vision insurance through the state, however, these employees and all other employees who may need vision insurance are able to elect coverage when they are first hired, during Open Enrollment, or if they have a life event change.

Forms:

Eye Med Enrollment Form

Eye Med Out Of Network Form

Eye Med does offer their members an app that can be found in the PlayStore or iTunes for download.

Changes to Your Benefit Elections

Generally, employees may only make changes to your benefit elections during Open Enrollment; however, mid-year changes can be made, should you experience an IRS qualifying change in status listed below:

  • Marriage; Birth or adoption of a child;
  • Divorce / Dissolution of Domestic Partnership;
  • Death of your spouse/domestic partner or child;
  • Change in employment status that affects benefit eligibility for you or your spouse/domestic partner; or
  • Change of eligibility status of a dependent (i.e., your child reaches the age limit of a benefit plan).

Benefit changes must take place within 30 days of the qualifying change in status OR during Open Enrollment.

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