Vision Benefits
Our vision care benefits include coverage for eye exams, lenses and frames, contact lenses, and discounts for laser surgery.
Vision Benefits
Your Premiums
Premiums are calculated on 24 pay periods and deducted from the first two paychecks of each month.
Employee
- Total Monthly Premium
- $7.46
- Modera’s Monthly Contribution
- $7.46
- Employee Monthly Premium
- $0.00
- Employee Payroll Deduction per Pay Period
- $0.00
Employee + Spouse
- Total Monthly Premium
- $14.96
- Modera’s Monthly Contribution
- $11.20
- Employee Monthly Premium
- $3.76
- Employee Payroll Deduction per Pay Period
- $1.88
Employee + Child(ren)
- Total Monthly Premium
- $12.66
- Modera’s Monthly Contribution
- $10.06
- Employee Monthly Premium
- $2.60
- Employee Payroll Deduction per Pay Period
- $1.30
Family
- Total Monthly Premium
- $20.88
- Modera’s Monthly Contribution
- $14.16
- Employee Monthly Premium
- $6.72
- Employee Payroll Deduction per Pay Period
- $3.36
Covered Services
Eye Exam
- In-Network
- $10 copay
- Out-of-Network
- Up to $45
Lenses
- In-Network
- $25 copay
- Out-of-Network
- Single Vision - up to $30; Bifocal - up to $50; Trifocal - up to $65; Progressive - up to $50; Lenticular - up to $100
Contact Lenses
- In-Network
- Medically Necessary - covered in full after $25 copay; Elective - up to $150 allowance; Fitting and evaluation - copay of no more than $60
- Out-of-Network
- Necessary - up to $210; Elective - up to $105
Frames
- In-Network
- Up to $150 allowance ($85 at Costco, Walmart and Sam’s Club)
- Out-of-Network
- Up to $70
Frequency in months (Exam, Lenses, Contacts & Frames)
- In-Network
- 12/12/12/24
- Out-of-Network
- 12/12/12/24
Plan Notes
- The vision plan uses the VSP Choice Network, whose providers offer you higher benefits at a lower cost. Consider using an in-network provider for the most bang for your buck when you need services!
- Contact lenses: medically necessary contacts are covered in full after the $25 copay; elective contacts have an allowance of up to $150; the fitting and evaluation copay is no more than $60.
- Employees can elect dental and/or vision regardless of their medical enrollment status.