One low price covers the member and includes all dependents at no additional cost.
Benefit Design Summary - Discount Access Program
Discounted Exam Benefit and a Defined Materials Discount Benefit
| Vision Care Services |
Member Cost |
| Exam with Dilation as Necessary |
$10 off contact lens exam
$5 off routine exam |
| Complete Pair Glasses Purchase**: Frames, lenses and lens options purchased in same transaction. |
| Frames: Any frame available at provider location |
35% off retail price |
| Standard Plastic Lenses**:
Single Vision
Bifocal
Trifocal |
$50
$70
$105
|
| Lens Options:
UV Coating
Tint (Solid and Gradient)
Standard Scratch-Resistance
Standard Polycarbonate
Standard Progressive (Add-on to Bifocal)
Standard Anti-Reflective Coating
Other Add-ons and Services |
$15
$15
$15
$40
$65
$45
20% discount
|
| Contact Lenses 1:
(Discount applies to materials only)
Conventional |
15% off retail price |
| Laser Vision Correction
Lasik or PRK |
15% off retail price - OR-
5% off promotional price
|
| Frequency:
Examination
Frames
Lenses
Contact Lenses |
Unlimited
Unlimited
Unlimited
Unlimited
|
** The scheduled discounts are only available when a complete pair of glasses is purchased. Items purchased separately will be discounted 20% off of the retail price.
1 After initial purchase, replacement contact lenses may be obtained via the Internet at a substantial savings and mailed directly to the member. For details click here. Members may also call toll-free 800-508-1399, M-F, EST, 8am - 7pm. The contact lens benefit allowance is not applicable to this service. Members will receive a 20% discount on items purchased at participating providers not included under plan coverage. 20% discount may not be combined with any other discounts or promotional offers, and the discount does not apply to EyeMed provider's professional services or contact lenses. Retail prices may vary by location.
All plans are based on a 12-month contract term.
Not valid for groups domiciled in the state of Washington.
Plan Limitations/Exclusions:
- Orthoptic or vision training, subnormal vision aids, and any associated supplemental testing
- Medical and/or surgical treatment of the eye, eyes, or supporting structures
- Corrective eyewear required by an employer as a condition of employment, and safety eyewear unless specifically covered under plan
- Services provided as a result of any Worker's Compensation law
- Plano non-prescription lenses and non-prescription sunglasses (except for 20% discount)
- Two pair of glasses in lieu of bifocals
Enroll By Mail
Click Here
to print an enrollment form in pdf format. Complete the form and mail it to:
Select Benefits Global Marketing Corp.
105 Walnut Street
Lawrenceburg, IN 47025
|
Enroll By Phone
Call us at (800) 613-4841 to enroll. |
 All forms are in pdf format. Download the Adobe Acrobat Reader for free. |
