Vision

UnitedHealthcare Vision Plan provides benefits for routine eye exams, eyeglasses or contact lenses. The Plan offers a High and a Low option. You pay 100% of the premium for UnitedHealthcare vision coverage with before-tax dollars.

In-network, covered-in-full benefits (up to the plan allowance and after applicable copay) include a comprehensive exam, eyeglasses with standard single vision, lined bifocal, or lined trifocal lenses, or lenticular lenses, standard scratch-resistant coating and the frame, or contact lenses in lieu of eyeglasses.

Children’s Eye Care Program

For covered children under the age of 13, the Children’s Eye Care Program provides:

• A second eye examination each plan year.
• A second pair of glasses (frames and lenses) if as the result of the second exam there is a prescription change of 0.5 diopter or more. A diopter is the unit used to measure the optical power of the lens an eye requires.

Depending on your Vision option, the same exam and materials copays that are effective for the first eye exam will apply and the frame and lens benefits will replicate the plan’s core coverage levels.

Polycarbonate lenses for dependent children are also available at no additional cost.

Maternity Benefit

A Maternity Benefit to help ensure optimal eye health for pregnant and breastfeeding women is also available. The maternity vision benefit offers:

• Coverage for a second eye exam each plan year at no additional premium cost.
• Coverage for a new pair of glasses (frames and lenses) at no additional premium cost if the vision prescription changes 0.5 diopter or greater in a plan year.

UnitedHealthcare Vision will not require proof of pregnancy.

Montefiore’s Vision Plan includes UnitedHealthcare’s Children’s Eye Care Program for members up to age 13 — at no additional cost.