Which Coverage Level Is Best?
You get to choose how much coverage you need and how you want to pay for it. When you choose your coverage level, you get to pick the one with the features you want.
Your coverage level determines how much you pay out of your paycheck (premiums). It also determines how much you pay out of your pocket when you receive care. Make sure to take your total costs into consideration when choosing a coverage level.
Don’t let the names of the coverage levels fool you. One option isn’t better than another. The coverage levels are designed to give you choices. It’s up to you to find the one that makes sense for your situation.
Vision Coverage Level Options
Bronze | Silver | Gold |
---|
Routine vision exam (once per plan year) | Covered 100% |
You pay $20 |
You pay $10 |
Frames (once per plan year) | Discount may apply |
$130 allowance1 |
$200 allowance1 |
Single vision | Discount may apply |
You pay $20 |
You pay $10 |
Bifocal | Discount may apply |
You pay $20 |
You pay $10 |
Trifocal | Discount may apply |
You pay $20 |
You pay $10 |
Standard Progressive2 | Discount may apply |
You pay $20 |
You pay $10 |
Lenticular | Discount may apply |
You pay $20 |
You pay $10 |
UV treatment | Discount may apply |
Varies by carrier |
Varies by carrier |
Tint (solid and gradient) | Discount may apply |
Varies by carrier |
Varies by carrier |
Standard plastic scratch-resistant coating | Discount may apply |
Varies by carrier |
Varies by carrier |
Standard anti-reflective coating | Discount may apply |
Varies by carrier |
Varies by carrier |
Standard polycarbonate (adults) | Discount may apply |
Varies by carrier |
Varies by carrier |
Standard polycarbonate (children) | Discount may apply |
You pay nothing |
You pay nothing |
Other add-ons | Discount may apply |
Discount only |
Discount only |
Medically necessary | Not covered |
You pay $20 |
You pay $10 |
Elective | Not covered |
$130 allowance1 |
$200 allowance1 |
Fit and evaluation | Discount may apply |
You pay $20 |
You pay $10 |
Elective | 15% off regular price or 5% off promotional price |
15% off regular price or 5% off promotional price |
15% off regular price or 5% off promotional price |