Vision Coverage
More than 80% of U.S. adults report using digital devices for over two hours per day, and nearly 67% say they use two or more devices simultaneously. Moreover, close to 55% report looking at some type of screen in the first hour they’re awake, and nearly 80% say they use digital devices in the hour just before going to sleep.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 InSight 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.
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 2019 Vision Council Protecting Sight—and Health—in a Multi-Screen Era.
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 $180 allowance |
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 |
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 |
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 $180 allowance |
Up to $104 |
|
Disposable |
$0 copay; 100% of balance over $180 allowance |
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:
Refer to this flyer for more information on the Mobile Member App.
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.
The rates below show the cost you will pay for vision coverage per bi-weekly pay period.
|
Coverage Level |
EyeMed Vision Care |
|---|---|
|
Employee Only |
$3.60 |
|
Employee + Spouse/Domestic Partner |
$6.84 |
|
Employee + Child(ren) |
$8.28 |
|
Employee + Family |
$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.