Vision Coverage
Most Americans spend over 5 hours a day with digital screens. No wonder 65% of us suffer eye strain!1 It’s now more important than ever to make sure you keep your eyes healthy. We offer a vision benefit, administered by EyeMed® Vision Care, that allows you to receive vision care from any provider you choose. However, providers and retail outlets that participate in the EyeMed network (including LensCrafters®, Pearle Vision®, Target Optical®, and Sears Optical®) will generally charge you less for covered services. Providers in the EyeMed network will also prepare and submit claims for you.
Note: Beginning January 1, 2025, the Company will offer the EyeMed InSight network, giving you access to even more in-network providers for the best cost savings, service, and selection to choose from.
Blue light can damage your eyes, and your eyes can’t block blue light on their own. Kids’ eyes are even less equipped to block it.2
Blue light radiates from your TV, computer, tablet, phone, and even the sun. Too much blue light may cause eye strain and headaches today, and retinal damage (or worse) down the road.3 Consider having blue light protection added to your lens materials and coatings.
1 2016 Vision Council Digital Eye Strain Report.
2 National Eye Institute (NEI) study.
3 “Blue Light: It’s Both Bad and Good for You,” About Vision, Updated February 2017, http://www.allaboutvision.com/cvs/blue-light.htm
|
Category/Service |
In-Network Member Cost |
Out-of-Network Maximum Reimbursement |
|
|---|---|---|---|
|
Exam Services (once every calendar year) |
Exam |
$0 copay |
Up to $50 |
|
Retinal imaging |
Up to $39 |
Not covered |
|
|
Contact Lens Fit and Follow-up (once every calendar year) |
Fit and follow-up – standard |
Up to $40 |
Not covered |
|
Fit and follow-up – premium |
10% off retail price |
Not covered |
|
|
Frames (once every calendar year) |
Frame |
$0 copay; 20% off balance over $150 allowance in 2024 and $180 allowance in 2025 |
Up to $104 |
|
Standard Plastic Lenses (once every calendar year) |
Single vision |
$25 copay |
Up to $42 |
|
Bifocal |
$25 copay |
Up to $78 |
|
|
Trifocal |
$25 copay |
Up to $130 |
|
|
Lenticular |
$25 copay |
Up to $130 |
|
|
Progressive – standard |
$90 copay |
Up to $140 |
|
|
Progressive – premium |
2024: $90 copay; 20% off retail price less $120 allowance 2025: Copay between $110 and $240, depending on the lens |
Up to $196 |
|
|
Lens Options |
Anti-reflective coating – standard |
$45 |
Not covered |
|
Anti-reflective coating – premium |
2024: 20% off retail price 2025: Copay between $57 and $100, depending on the lens |
Not covered |
|
|
Polycarbonate – standard |
$40 |
Not covered |
|
|
Polycarbonate – standard for under 26 years of age |
$0 copay |
Up to $32 |
|
|
Scratch coating – standard plastic |
$0 copay |
Up to $12 |
|
|
Tint – solid or gradient |
$15 |
Not covered |
|
|
UV treatment |
$15 |
Not covered |
|
|
All other lens options |
20% off retail price |
Not covered |
|
|
Contact Lenses |
Conventional |
$0 copay; 15% off balance over $150 allowance in 2024 and $180 allowance in 2025 |
Up to $104 |
|
Disposable |
$0 copay; 100% of balance over $150 allowance in 2024 and $180 allowance in 2025 |
Up to $104 |
|
|
Medically necessary |
$0 copay; paid in full |
Up to $210 |
|
|
Other |
Hearing care from Amplifon network |
Discounts on hearing exam and aids; call 1-877-203-0675 |
Not covered |
|
Lasik or PRK from U.S. laser network |
15% off retail or 5% off promo price; call 1-800-988-4221 |
Not covered |
|
Note: The plan allows members to receive either contacts and frame, or frames and lens services.
Your vision coverage comes with additional discounts:
Use the provider locator:
For Lasik, call 1-800-988-4221.
Your EyeMed coverage comes with several online shopping options, in addition to thousands of in-network store locations.
Shop and buy frames, contacts, and sunglasses just like you would in the store, but from your computer, smartphone, or tablet.
You and the Company share the cost for vision coverage, with the Company paying the majority.
The rates below show the cost you will pay for vision coverage per bi-weekly pay period.
|
Coverage Level |
EyeMed Vision Care |
|---|---|
|
Employee Only |
2024: $2.75 2025: $3.60 |
|
Employee + Spouse/Domestic Partner |
2024: $5.22 2025: $6.84 |
|
Employee + Child(ren) |
2024: $6.32 2025: $8.28 |
|
Employee + Family |
2024: $7.77 2025: $10.18 |
When you enroll in vision coverage, you are eligible for $50 off one hearing aid or $125 off two hearing aids, through Amplifon. This benefit comes with:
Accessing Your Discount:
For more information, read about the benefit here and visit www.amplifonusa.com/ddma.
Hearing services are administered by Amplifon Hearing Health Care, Corp. Amplifon Hearing Health Care is solely responsible for the administration of hearing health care services, and its own financial and contractual obligations.
Delta Dental of Massachusetts and Amplifon are independent, unaffiliated companies. Delta Dental of Massachusetts is an Independent Licensee of the Delta Dental Plans Association. ®Registered Marks of the Delta Dental Plans Association.
The plan is not insurance coverage and does not meet the minimum creditable coverage requirements under the Affordable Care Act or Massachusetts M.G.L. c. 111M and 956 CMR 5.00.