Provider:
Vision Care Direct Plan Administration
2178 South 900 East Suite 6
Salt Lake City, Utah 84106
Toll-Free: 1-877-488-8900
Fax: 1-801-466-4113
Gold Plan
| • |
Full eye, health and vision care exam every 12 months, $15 co-pay |
| • |
Single Vision, Bifocal or Trifocal lenses every 12 months, $15 co-pay |
| • |
$100 fram allowance every 12 months |
| • |
$105 contact lens allowance in lieu of frame and lens benefit, every 12 months |
| • |
10% off discount on refractive surgery (LASIK) from some of the best refractive
surgeons (please contact a Vision Care Direct doctor in your area for their
recommendation) |
Silver Plan
| • |
Full eye, health and vision care exam every 12 months, $15 co-pay |
| • |
Single Vision, Bifocal or Trifocal lenses every 12 months, $15 co-pay |
| • |
$100 frame allowance every 24 months |
| • |
$105 contact lens allowance in lieu of frame and lens benefit, every 12 months |
| • |
10% discount on refractive surgery (LASIK) from some of the best refractive surgeons |
Bronze Plan
| • |
Full eye, health and vision care exam every 12 months, $15 co-pay |
| • |
Single Vision, Bifocal or Trifocal lenses every 24 months, $15 co-pay |
| • |
$100 frame allowance every 24 months |
| • |
$105 contact lens allowance in lieu of frame and lens benefit, every 24 months |
| • |
10% discount on refractive surgery (LASIK) from some of the best refractive surgeons |
Materials Only Plan
| • |
Single Vision, Bifocal or Trifocal lenses every 12 months, $15 co-pay |
| • |
$100 frame allowance every 12 months |
| • |
$105 contact lens allowance in lieu of fram and lens benefit |
| • |
10% discount on refractive surgery (LASIK) from some of the best refractive surgeons |
Prescription Sunwear Only
| • |
Single Vision, Bifocal or Trifocal lenses every 12 months, $15 co-pay |
| • |
$100 frame allowance every 12 months |
| • |
Sunwear tint* every 12 months |
| • |
10% discount on refractive surgery (LASIK) from some of the best refractive surgeons |
*Tint on plastic lenses. Does not include Polarized lenses, glass tints or photo-chromic lenses. Patient is responsible for upgrade charge for Polarized lenses, glass tints or photo-chromic lenses. Patient pays difference between retail tint on plastic lenses, Polarized lenses, glass tints or photo-chromic lenses.
Exam Only Plan
| • |
Full eye, health and vision care exam every 12 months, $15 co-pay |
| • |
Includes Refraction |
Monthly Rates (12 payments per year)
| |
Gold |
Silver |
Bronze |
Materials
Only
|
Rx
Sunwear |
Exam
Only |
| Employee |
$13.50 |
$12.02 |
$8.92 |
$9.02 |
$9.84 |
$4.38 |
| Employee + Spouse |
21.60 |
$22.20 |
14.28 |
14.60 |
15.74 |
7.00 |
| Employee + Chid(ren) |
24.92 |
22.20 |
16.48 |
16.84 |
18.16 |
8.08 |
| Family |
42.38 |
37.76 |
28.04 |
28.64 |
30.90 |
13.74 |
Monthly Rates (9 payments per year)
| |
Gold |
Silver |
Bronze |
Materials
Only
|
Rx
Sunwear |
Exam
Only |
| Employee |
$18.00 |
$16.03 |
$11.89 |
$12.03 |
$13.12 |
$5.84 |
| Employee + Spouse |
28.80 |
25.65 |
19.04 |
19.47 |
20.99 |
9.33 |
| Employee + Chid(ren) |
33.23 |
29.60 |
21.97 |
22.45 |
24.21 |
10.77 |
| Family |
56.51 |
50.35 |
37.39 |
38.19 |
41.20 |
18.32 |
| • |
Vision Care Direct has the Largest Network of Doctors in Kansas. We have over 300 doctor locations statewide. |
| • |
Vision Care Direct is Portable. Employees can take their coverage with them when they separate from service |
| • |
Members Save 30% to 50% or more with Vision Care Direct, when compared to paying with cash. For example: |
| |
Vision Care Direct |
Pay with Cash* |
| Comprehensive Eye Health Exam & Refraction |
$15 |
$100-1651 |
| New Frames & Single Focus Lenses |
$15 |
$197 |
| Annual Premium (Gold Plan) |
$162 |
|
| Annual Total |
$192 |
$297-362 |
Annual Savings of $105-170
or
35-47%
|
*Average fee range for comprehensive dilated eye exam in the Kansas market (Source: VCP & KOA)
*Average retail for a new set of frames and single-focus lenses. (Source: Consumer Reports, June 2001)
