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Vision Insurance
Medical Plan
Eye Exam
Lenses
Frames
Eye Exam (OON)
Lenses (OON)
Frames (OON)
Medical Plan
VSP
Eye Exam
Once Every Calendar Year
Lenses
Once Every Calendar Year*
Frames
Once Every Calendar Year*
Eye Exam (OON)
Once Every Calendar Year
Lenses (OON)
Once Every Calendar Year*
Frames (OON)
Once Every Calendar Year*
Medical Plan
Eye Exam
Lenses
Eye Exam (OON)
Lenses (OON)
Medical Plan
EyeMed
Eye Exam
$10 copay
Lenses
Covered
Eye Exam (OON)
Up to $40
Lenses (OON)
Up to $32
In- or OON
Single Vision Lenses
Bifocal or Standard Progressive
Trifocal Lenses
Lenticular Lenses
Contact Lenses
Frames
In- or OON
In-Network
Single Vision Lenses
$25 copay
Bifocal or Standard Progressive
$25 copay
Trifocal Lenses
$25 copay
Lenticular Lenses
$25 copay
Contact Lenses
$200 allowance
Frames
$200 allowance
In- or OON
Out-of-Network
Single Vision Lenses
Up to $30
Bifocal or Standard Progressive
Up to $50
Trifocal Lenses
Up to $70
Lenticular Lenses
Up to $70
Contact Lenses
Up to $200
Frames
Up to $140
Vision Benefits - UNUM
Dental
Rates as of: January 1, 2027
Medical Plan
Employee Only
Employee + Spouse
Employee + Child(ren)
Family
Medical Plan
UNUM
Employee Only
$5.88
Employee + Spouse
$21.15
Employee + Child(ren)
$20.85
Family
$35.63