Vision Coverage
Keep your vision clear with regular eye exams.
The UHC vision plan covers eye exams, lenses or contact lenses, and frames. You have a choice of the Base Plan which covers frames every 24 months and covers lenses up to $105 or the Buy-up Plan which covers frames every 12 months and covers lenses up to $150. You can go to an in-network or out-of-network provider for these services.
| UHC Vision Plan | Base Plan V1043 | Buy-Up Plan VH117 | ||
|---|---|---|---|---|
| Exam with Materials | ||||
| Benefit Frequency | ||||
| Comprehensive Exam(s) | Once every 12 months | |||
| Eyeglass Lenses | Once every 12 months | |||
| Frames | Once every 24 months | Once every 12 months | ||
| Contact Lenses instead of Eyeglasses | Once every 12 months | |||
| In-Network Services | ||||
| Copays | ||||
| Exam(s) | $ 15.00 | |||
| Eyeglasses (lenses and frame) | $ 30.00 | |||
| Contact lenses instead of Eyeglasses | $ 30.00 | |||
| Frame Benefit (for frames that exceed the allowance, an additional 30% discount may be applied to the overage)1 |
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| Private Practice Provider | $130.00 retail frame allowance | $150.00 retail frame allowance | ||
| Retail Chain Provider | $130.00 retail frame allowance | $150.00 retail frame allowance | ||
| Lens Options | ||||
| Standard Scratch-resistant Coating, Polycarbonate Lenses for Dependent Children (up to age 19) - covered in full. | ||||
| Contact Lens Benefit2 (Formulary contact lenses refer to contact lenses available on our formulary contact list. Contact lenses not on this list are referred to as Non-Formulary. A copy of the list can be found at myuhcvision.com). |
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| Formulary contact lenses The fitting/evaluation fees, contact lenses, and up to two follow-up visits are covered in full after copay. |
If you choose disposable contacts, up to 4 boxes are included when obtained from an in-network provider. | |||
| Non-Formulary contact lenses An allowance is applied toward the purchase of contact lenses outside the Formulary. Contact lens copay is waived. |
$105.00 | $150.00 | ||
| Necessary contact lenses3 | Covered in full after copay (if applicable). | |||
| Children's and Maternity Eye Care Benefit | ||||
| Members age 0-12 and members pregnant or breastfeeding are eligible for a 2nd exam. Members age 0-12 and members pregnant or breastfeeding are also eligible for a replacement frame and lenses if they have a prescription change of 0.5 diopter or more. The 2nd exam and replacement benefits are the same as the initial exam, frame and lens benefits. | ||||
| Out-of-Network Reimbursements (Copays do not apply) | ||||
| Exam(s) | Up to $40.00 | |||
| Frames | Up to $45.00 | |||
| Single Vision Lenses | Up to $40.00 | |||
| Lined Bifocal and Progressive Lenses | Up to $60.00 | |||
| Lined Trifocal Lenses | Up to $80.00 | |||
| Lenticular Lenses | Up to $80.00 | |||
| Elective Contacts instead of Eyeglasses2 | Up to $105.00 | |||
| Necessary Contacts instead of Eyeglasses3 | Up to $210.00 | |||
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130% discount available at most participating in-network provider locations. May exclude certain frame manufacturers. Please verify all discounts with your provider. 2Contact lenses are instead of eyeglass lenses and/or eyeglass frames. Coverage for Formulary contact lenses does not apply at all in-network providers. The allowance for Non-Formulary contact lenses applies to materials. No portion will be exclusively applied to the fitting and evaluation. 3Necessary contact lenses are determined at the provider's discretion for one or more of the following conditions: Following cataract surgery without intraocular lens implant; to correct extreme vision problems that cannot be corrected with eyeglass lenses and/or frames; with certain conditions such as anisometropia, keratoconus, irregular corneal/astigmatism, aphakia, pathological myopia, aniseikonia, aniridia, facial deformity, or corneal deformity. If your provider considers your contacts necessary, you should ask your provider to contact UnitedHealthcare vision confirming the reimbursement that UnitedHealthcare will make before you purchase such contacts. |
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To Find a Network Provider, go to myuhcvision.com. Your vision network is powered by Spectera.
Printing Your ID Cards
No physical cards are mailed by UHC โ print out your card online or tell your eye doctor you have the UHC Vision Plan, and they can use your name & social security number to find you on the network.
Vision ID card
Vision Welcome Member Brochure
UHC Vision Summary
Base Plan
