|Benefit Name||In Network||Out of Network||Limits and Additional Information|
|Adult Eye Exams- Routine||Covered in Full||25% Co-Insurance Subject to Deductible||
|Adult Eyewear- Routine||Covered||Covered||
|Pediatric Eye Exams- Routine||Covered in Full||25% Co-Insurance Subject to Deductible||
|Pediatric Eyewear- Routine||50% Coinsurance Subject to Deductible||50% Coinsurance Subject to Deductible||
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.
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.
Eye Med does offer their members an app that can be found in the PlayStore or iTunes for download.
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:
Benefit changes must take place within 30 days of the qualifying change in status OR during Open Enrollment.