DFB TPA Services  EyeMed Vision  Plan


 


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Take a sneak peek before enrolling:

  • You’re on the SELECT Network
  • For Lasik providers, call 1-877-5LASER6.
  • For a complete list of in-network providers near you, use our Enhanced Provider Locator on www.eyemed.com or call 1-866-299-1358.


Connect With Us

 

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What’s in it for me?

 Options. It’s simple really. We’re dedicated to helping you see clearly — and that’s why we’ve built a network that gives you lots of choices and flexibility. You can choose from thousands of independent and retail providers to find the one that best fits your needs and schedule. No matter which one you choose, our plan is designed to be easy-to-use and help you access the care you need. Welcome to EyeMed.

Vision Care
Services
In-Network
Member Cost
Out-of-Network
Exam With Dilation as Necessary $10 Co-pay Up to $30
Frames $0 Co-pay; $130 allowance; 80% of charge over $130 Up to $65
Standard Plastic Lenses
Single Vision $25 Co-pay Up to $25
Bifocal $25 Co-pay Up to $40
Trifocal $25 Co-pay Up to $60
Standard Progressive Lens $90 Up to $40
Premium Progressive Lens $90, 80% of charge less $120 allowance Up to $40
Lenticular $25 Co-pay Up to $60
Lens Options (paid by the member and added to the base price of the lens)
UV Treatment $15 N/A
Tint (Solid and Gradient) $15 N/A
Standard Plastic Scratch Coating $15 N/A
Standard Polycarbonate $40 N/A
Standard Polycarbonate - Kids under 19 $40 N/A
Standard Anti-Reflective Coating $45 N/A
Polarized 20% off retail price N/A
Other Add-Ons and Services 20% off retail price N/A
Contact Lens Fit and Follow-Up (Contact lens fit and two follow up visits are available once a comprehensive eye exam has been completed)
Standard Contact Lens Fit & Follow-Up Up to $40 N/A
Premium Contact Lens Fit & Follow-Up 10% off retail N/A
Contact Lenses
Conventional $0 Co-pay; $120 allowance; 15% off balance over $120 Up to $96
Disposable $0 Co-pay; $120 allowance; plus balance over $120 Up to $96
Medically Necessary $0 Co-pay, Paid-in-Full Up to $200
Laser Vision Correction
Lasik or PRK from U.S. Laser Network 15% off the retail price or 5% off the promotional price N/A
Frequency
Examination Once every 12 months
Lenses or Contact Lenses Once every 12 months
Frame Once every 24 months


And now it’s time for the breakdown . . .

Here’s an example of what you might pay for a pair of glasses with us vs. what you’d pay without vision coverage. So, let’s say you get an eye exam and choose a frame that costs $163 with single vision lenses that have UV and scratch protection. Now let’s see the difference...

EyeMed

 


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