The UnitedHealthcare vision plan provides a benefit for an eye exam, eyeglass frames, and contact lenses or eyeglass lenses. If you visit an in-network provider, you pay a copay for your standard eye exam, and the plan pays a benefit of up to $250 for frames and contact lenses. There are additional copays and costs that could apply for a contact lens exam and eyeglass lens options. With the UnitedHealthcare vision plan, you may visit any vision provider. However in order to maximize your vision benefit, we encourage you to visit an in-network provider.
UHC has two different tiers for contacts: formulary and non-formulary. If you select a formulary contact brand, up to ten boxes of contacts will be covered under the copayment. This also includes the fitting fee. Non-formulary contacts are subject to a $250 allowance, and the fitting fee is your responsibility.
Frequency limitations: The exam benefit, lenses benefit, and frames benefit are all once per 12 months.
Participating vision provider information can be found on the Resources page.
|Vision Summary of Benefits||In-Network|
|Contact Lens Fit and Follow-up||Included with formulary contact lenses|
Lenses - Glasses
|Standard Progressive||$70 copay|
|UV Treatment||$16 copay|
|Standard Scratch Resistant Coating||$10 copay|
|Standard Polycarbonate - Adults||$33 copay|
|Standard Polycarbonate - Children under age 19||$0 copay (up to age 18)|
|Standard Anti-reflective Coating||$40 copay|
|Plan pays $250 less $20 copay Costco: Plan pays $135 less $20 copay|
|Conventional & Disposable||Up to 10 boxes (formulary) | $250 allowance (non-formulary)|
|Medically necessary||Covered in full|
Laser Vision Correction
|Average 15-20% discount or 5% off promotional offer|