Vision Plans
(For Full-Time Benefits-Eligible Faculty and Staff)
Davis Vision and Vision Benefits of America (VBA) administer our vision programs. Our vision options are designed to give you flexibility in coverage and providers.
Vision: Employee Contributions for 2013 (Biweekly / Monthly)
| Plan Level |
Davis Vision 1
|
VBA Option 1 |
Davis Vision 2
|
VBA Option 2 |
| Individual |
$0.50 / $1.00
|
$0.57 / $1.14
|
$2.00 / $4.00
|
$2.00 / $4.00 |
| Family |
$3.00 / $6.00
|
$3.44 / $6.88
|
$8.25 / $16.50
|
$8.25 / $16.50 |
Vision Benefits Information
Davis Vision
- Obtaining Vision Care:
During an appointment with a participating provider, show the provider your Davis Vision member ID card. The provider will submit the claim directly. When using a non-participating provider, pay for the service in full, and then submit a Reimbursement Claim [pdf] at the out-of-network level. - Davis Vision Plan Information: Search for providers, review benefits, view frame collection, learn about laser vision correction or Lens 1-2-3, or take a satisfaction survey. Be sure to log in with the appropriate control code.
Vision Benefits of America
- Obtaining Vision Care:
Most participating providers can submit electronic claims. When using providers without electronic claims filing, you must request a benefit form before seeking services. If you do not get a benefit form prior to your appointment, the visit will be considered out-of-network. Request a benefit form online or by calling 800-432-4966. Bring the benefit form to your appointment. For out-of-network services, pay in full and then submit a benefit form and receipts for out-of-network reimbursement. - VBA Plan Information: Review benefits, learn about laser vision correction or request a benefits form.
- Vision Benefits of America Provider Search—providers in bold font can process claims electronically
- VBA Option 1—Summary of Benefits [pdf] and Q&A [pdf]
See also the Summary Plan Description [pdf] - VBA Option 2—Summary of Benefits [pdf] and Q&A [pdf]
See also the Summary Plan Description [pdf]
- VBA also provides:
- Discounted LASIK surgery through QualSight [pdf] (see QualSight Q&A [pdf]) and TLC [pdf]
- Free hearing screenings and retail discounts on hearing aids through Beltone [pdf]
HMO Medical Plan: Vision Benefits
The HealthAmerica HMO provides for one routine eye exam with refraction every 12 months for participants under age 18, through the EyeMed Vision Care network (866-723-0514 or http://www.eyemedvisioncare.com). Check your plan document or contact the carrier for details about the vision benefits included in the HMO plan.