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Superior Vision Insurance
Many retirees have more substantial vision care needs and are looking for a vision insurance plan. If this applies to you, Superior Vision has developed a wonderful insurance plan for NCRGEA members that will give you coverage for eye exams, glasses, contact lenses, and much more. Read below for an Outline of Benefits and other information about the optional Superior Vision Insurance Plan. If you opt for the vision insurance plan, you will still be able to utilize the discount card for any extra purchases incurred after you use the full benefit coverage. Click here for Superior Vision Program Benefit Summary.
Outline of Benefits
Vision Plan-Preferred Provider (PPO)/Indemnity
Co-payments:
$20 Comprehensive Eye Exam
$20 Materials (not applicable to contact lenses)
$25 Contact Lens Fitting Exam
In-network co-pays are paid directly to the provider.
Out-of-network co-pays will be deducted from the out-of-network reimbursement.
Gold Plus Preferred Plan Services |
Frequency |
Comprehensive Eye Exam |
12 months |
Contact Lens Fitting Exam |
12 months |
Lenses |
12 months |
Frames |
24 months |
Contact Lenses |
12 months |
Benefits |
In-Network* |
Out-of-Network* |
| Comprehensive Eye Exam: |
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Ophthalmologist (MD) |
Covered in Full after $20 co-pay |
Up to $44 |
Optometrist (OD) |
Covered in Full after $20 co-pay |
Up to $39 |
Standard Lenses (Per Pair): |
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Single Vision |
Covered in Full after $20 co-pay |
Up to $34 |
Bifocal |
Covered in Full after $20 co-pay |
Up to $48 |
Trifocal |
Covered in Full after $20 co-pay |
Up to $64 |
Lenticular |
Covered in Full after $20 co-pay |
Up to $88 |
Contact Lenses (Per Pair):** |
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Medically Necessary |
Covered in Full |
Up to $210 |
Elective*** |
Up to $120 |
Up to $100 |
Contact Lens Fitting Exam**** |
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Standard |
Covered in Full after $25 co-pay |
Not Covered |
Specialty |
Up to $50 after $25 co-pay |
Not Covered |
Frames*** |
Up to $130 after $20 co-pay |
Up to $63 |
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| *All in-network and out-of-network allowances are at the retail value.
**Contact lenses are in lieu of eyeglass lenses and frames benefit.
***The insured is responsible for paying any charges in excess of this retail allowance. Materials co-pay
applies to lenses and/or frames.
****Standard contact lens fitting applies to an existing contact lens user who wears disposable, daily wear, or extended wear lenses only. The specialty contact lens fitting applies to new contact lens wearers
and/or a member who wears toric, gas permeable, or multifocal lenses. For the specialty fitting, the member
is responsible for any charges over $50. |
Monthly Rates
Retiree Only: $7.32
Retiree & Family: $16.74
How to Use the Plan
Welcome to the Superior Vision Plan. Superior Vision provides
primary vision care benefits including eye examinations,
prescription eyewear, and contact lenses through a broad-based
provider network of both ophthalmologists and optometrists. The
plan also contracts with a large number of national and regional
optometric chain locations.
Your first step should be to choose an eye care provider, or ensure
that your current provider is part of the Superior Vision network.
Go to www.superiorvision.com and click on “Locate a Provider” for
an updated list. You may also call Customer Service for this
information at 800-507-3800. You will learn about “in-network” and “out-of-network” providers – it is an important distinction when
receiving your benefits. You will also learn more about how to use
your benefits, as well as the discounts that are available to you.
Remember that a routine eye exam is important not only for
correcting vision problems, but for maintaining healthy eyes and
overall wellness. Superior Vision eye care providers will be looking
for signs that may indicate other health issues - not just vision
problems. Take the time to get to know your vision plan, and start
experiencing healthy eyes and healthy living.
Discount Features
Discounts vary by provider but are the best possible discounts
available to our members. Visit our website or call Customer
Service to get provider specifics.
SVP8-20 (Applies to covered pair of glasses)
Frames: 20% discount off the difference between your chosen
retail frame and the retail frame allowance.
Lens options & upgrades: 20% discount off retail rate.
Some options on certain lenses are discounted to a specific
amount; this list does NOT include high-end, name brand, or nonstandard
options.
Fixed price standard options on standard lens types include
Factory Scratch coat ($13), UV coat ($15), Anti-Reflective ($50),
glass coloring ($35), and solid and gradient tints ($25). On
standard single vision lenses, fixed price standard options include
High Index 1.6 ($55), Polycarbonate ($40), and Photochromic
($80).
Materials Discounts on Additional Purchases
(off retail prices)
| Prescription eyeglass lenses |
30% |
| Eyeglass frames |
30% |
| Lens options & upgrades |
20% |
| Contact lenses (hard or soft) |
20% |
| Disposable contacts |
10% |
Discounts are subject to change without notice. Discounts do not apply
when prohibited by the manufacturer.
Items or Services Not Covered
While Superior Vision offers a variety of vision benefits, there are
a few items or services that are generally not covered, or have
limitations to their coverage. We do offer discounts on many of
these items, as outlined in our discount plan coverage information.
Items or Services Not Covered or Limited Coverage*
- non-prescription (plano) lenses, sunglasses, or contact lenses
- any coating applied to lenses such as anti-reflective, scratch,
UV, lamination, tints (except pink tint #1 and #2), and sunglass
coloring
- any lens materials other than standard plastic or glass such as
polycarbonate, hi-index, polaroid, and photochromic
- any special lens feature or treatment such as prisms, slab off,
faceted, oversize lens greater than 61mm, polished bevel,
groove, drill mount, notch, roll and polish, and blended bifocal
- progressive lenses (the provider will apply the retail charge
for standard trifocal lenses against the retail charge for the
progressive lenses you selected.)
- replacement of broken, lost, or damaged frames and/or lenses
- orthoptics, vision training, and developmental vision
procedures
- experimental or non-conventional treatment or device
- medical or surgical treatment of the eyes
- post-cataract lenses (intra-ocular)
- subnormal or low vision aids
- safety eyewear
- eye examination or corrective eyewear required by an
employer as a condition of employment
- services or materials when covered under workers’ compensation or similar third party coverage
- services or materials rendered by a provider other than an
ophthalmologist, optometrist, or optician acting within the
scope of his or her license
- any additional services or procedures outside of a routine eye
exam and contact lens fitting
- services or materials rendered after the date a member ceases to be covered by the benefits plan except when vision
materials ordered before coverage ended are delivered AND
the corresponding services are provided to the member within
31 days of the initial order
Regardless of optical necessity, benefits are not available more
frequently than that which is specified in the Outline of Benefits.
* Plans vary, so refer to your own specific coverage.
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