Vision Plan
See your life more clearly with comprehensive vision coverage. Annual eye exams are more than just getting the right prescription for your glasses. They also help detect early signs of vision problems, eye diseases and other health conditions like diabetes or high blood pressure, making sure you can treat these conditions before they become worse.
Eligibility & Enrollment
Regular, full-time employees are eligible for vision insurance on the first day of employment. You can enroll as a new hire, during the fall Annual Enrollment, or in conjunction with a qualified life event.
After enrolling, watch your mail for a welcome packet from EyeMed with your ID card, however, you do not need an ID card to begin receiving network services after the effective date of your enrollment.
How it Works
Our vision plan, through EyeMed, provides coverage for eye exams, and glasses or contacts.
Your Network
Providers who are contracted with EyeMed Vision Care’s Select network are considered in-network providers for vision benefits. The network includes private practice practitioners and national chains such as LensCrafters, Target and JC Penney.
If you use a provider that is not in the EyeMed network, the plan will reimburse up to the amount shown in the chart below.
Find a Provider
You can search for in-network vision providers by visiting eyemed.com and choosing Select Network, searching within the EyeMed app or by calling EyeMed representatives at 1-866-299-1358. Post-enrollment, visit eyemedvisioncare.com/ajg.
Claims
If you obtain services from an in-network provider, your claim will be filed with EyeMed on your behalf.
If you obtain services from an out-of-network provider, then you will be responsible for sending a completed EyeMed Out-of-Network Claim Form and an itemized receipt to EyeMed.
Plan overview
| In-Network Member Costs | Out-of-Network Reimbursement | |
|---|---|---|
| Exam (covered once every 12 months) | $10 copay | $30 |
| Eyeglasses: Choose a frame and a lens type—either contact lenses or lenses for eyeglasses—annually | ||
| Frames | $170 allowance; 20% off balance over $170 | $85 |
| Lenses: Choose eyeglasses or contacts | ||
| Single vision | Covered in full | $25 |
| Bifocal | Covered in full | $40 |
| Trifocal | Covered in full | $55 |
| Lenticular | Covered in full | $55 |
| Standard progressive | $65 copay | $40 |
| Premium progressive | $65-110 copay, or $120 allowance depending on tier | $40 |
| UV treatment | Covered in full | $5 |
| Tint | Covered in full | $5 |
| Standard plastic scratch | Covered in full | $5 |
| Standard polycarbonate | Covered in full (under age 19); $40 (age 19 or older) | $5 |
| Standard anti-reflective coating | $57-$68 copay or 20% discount depending on tier | NA |
| Other add-ons and services | $20 off retail price | NA |
| Contact Lenses Options: Choose a lens type annually, either contact lenses or lenses for eyeglasses | ||
| Medically necessary | Covered in full | $200 |
| Elective: conventional | $170 allowance; 20% off balance over $170 | $136 |
| Elective: disposable | $170 allowance | $136 |
| Fitting and follow up | Up to $40; 10% off retail | NA |
| Lasik & PRK vision correction procedures | 15% discount off the retail price (a 5% discount off promotional pricing) | NA |
Provider details
Benefits Provider
EyeMed
Website
https://www.eyemedvisioncare.com/ajgCall
866-299-1358866-723-0514 post-enrollment
Additional Information
Transition Timeline
View key milestones and dates so you can plan ahead with confidence.