Superior Vision Copay



The University’s vision plan, administered by Superior Vision, covers eye examinations, prescription eyewear and contact lenses.

The table below shows what you will pay for in-network care. Out-of-network care will be reimbursed after you submit a claim, up to plan limits. Copays for out-of-network services will be deducted from your reimbursement.Certain Superior Vision providers offer discounts, ranging. To find a physician affiliated with our hospital, select a specialty or use the advanced search options to refine your search. You must select a specialty unless you are searching by last name of physician. Vision therapy, 3) Non-routine vision services and tests, 4) Luxury frames, 5) Premium prescription lenses, and 6) Nonprescription eyewear. For more information or detail, call 888-357-6912. Superior Vision: Materials copay applies to lenses and/or frames. Discounts for lens add-ons will be. Superior Vision Copay/Exam - $35 Frames covered in full up to $140 Standard Lenses covered in full Superior Vision Plus Copay - $35 Frames covered in full up to $165 Scratch and Ultraviolet coat covered in full Welfare Benefits Life Insurance Employees are enrolled in a.

You have two options for vision coverage: the Basic Plan and the Enhanced Plan. You have the option to see a provider in the Superior Vision National network or an out-of-network provider; however, you’ll always pay more for out-of-network services.

How Much Does Superior Vision Cover

The table below shows what you will pay for in-network care. Out-of-network care will be reimbursed after you submit a claim, up to plan limits. Copays for out-of-network services will be deducted from your reimbursement.

Copay

Superior Vision Company

Basic Plan Enhanced Plan
Copays
Routine Eye Exam$10, once per year $10, once per year
Materials (lenses and frames only)$20, once every two years ($125 frame allowance)$20, once per year ($150 frame allowance)
Contact Lense Fitting$25, once per year ($50 retail allowance for specialty contact fitting after copay)$25, once per year ($50 retail allowance for specialty contact fitting after copay)
Lenses (Once pair per year)
Single VisionCovered in fullCovered in full
BifocalCovered in fullCovered in full
TrifocalCovered in fullCovered in full
ProgressiveDifference between progressive and standard retail lined trifocalCovered in full (Premium lenses are subject to an allowance maximum)
Scratch coatDiscounts*Covered in full
Ultraviolet coatDiscounts*Covered in full
Contact Lenses (in lieu of eyeglass lenses and frames)$120 allowance per calendar year$150 allowance per calendar year
*Certain Superior Vision providers offer discounts, ranging from 10-30%, on services and supplies. Discounts vary by provider and not all providers offer discounts.

Superior Vision Payer Id

To find a provider in the Superior Vision network, go to www.superiorvision.com and select “Locate a Provider.” Choose Superior Vision National from the drop-down menu and enter your zip code. You can also call 800.507.3800 for assistance.