总理
愿景
The 总理愿景 plan is easy to use 和 can help save you money with both insurance benefits 和 negotiated discounts provided by the Spectera Eyecare Networks. 总理愿景 provides benefits for the annual comprehensive eye exam, corrective st和ard lenses 和 frames, or corrective contact lenses in lieu of lenses 和 frames.
Why Choose 总理愿景?
总理愿景 uses the extensive Spectera Eyecare Networks of over 100,000 access points for care. Choose from independent or retail 供应商 to find the Provider that best fits Your needs 和 schedule. The 总理愿景 Plan is designed to be easy to use, while hel销g You save money.
好处 | In-Network 好处 | Out-of-Network 好处 |
---|---|---|
Comprehensive Eye Exam1 | $0 Copay per Insured; 100% Coinsurance | 100% Up to an Allowance of $35 |
帧2 | $10 Copay per Insured; 100% Coinsurance Up to an Allowance of $150 | 100% Up to an Allowance of $60 |
Corrective St和ard Lenses2 | ||
Single 愿景 Lenses | $10 Copay per Insured; 100% Coinsurance | 100% Up to an Allowance of $35 |
Lined Bifocal Lenses | $10 Copay per Insured; 100% Coinsurance | 100% Up to an Allowance of $55 |
Lined Trifocal Lenses | $10 Copay per Insured; 100% Coinsurance | 100% Up to an Allowance of $90 |
St和ard Progressive Lenses | $10 Copay per Insured; 100% Coinsurance | 100% Up to an Allowance of $90 |
Premium Progressive Lenses | $10 Copay per Insured; 100% Coinsurance | 100% Up to an Allowance of $90 |
Corrective Contact Lenses3 | ||
Conventional | $10 Copay per Insured; 100% Coinsurance Up to an Allowance of $200 | 100% Up to an Allowance of $100 |
Disposable | $10 Copay per Insured; 100% Coinsurance Up to an Allowance of $200 | 100% Up to an Allowance of $100 |
1Limited to one (1) Comprehensive Eye Examination every twelve (12) months from the last date of service, per Insured.
2In lieu of Corrective Contact Lenses, limited to one (1) purchase every twelve (12) months from the last date of service, per Insured. In no event will 好处 be payable for both glasses 和 corrective contact lenses.
3In lieu of Corrective St和ard Lenses 和 帧, limited to one (1) purchase every twelve (12) months from the last date of service, per Insured. In no event will 好处 be payable for both glasses 和 corrective contact lenses.
How Much You Can Save!
Here are a couple of examples of what You might pay for a pair of glasses with 总理愿景 vs. what You would pay without 总理愿景.
Let’s say You get an eye exam 和 choose a frame that costs $163 with single vision lenses. The difference is clear . . .
Example 1 - Adult's Glasses | 总理愿景 | No Coverage |
---|---|---|
Comprehensive Eye Exam | $0.00 | $100.00 |
St和ard progressive lenses | $0.00 | $230.00 |
Lens copay | $10.00 | |
St和ard scratch guard coating* | $0.00 | $28.00 |
Frame | $180.00 | $180.00 |
空行 | ||
-$150 allowance | ($150.00) | |
-30% discount off $30 balance* | (9.00) | |
Frame copay | $10.00 | |
你付钱→ | $41.00 | $538.00 |
Example 2 - Child's Glasses | 总理愿景 | No Coverage |
---|---|---|
Comprehensive Eye Exam | $0.00 | $100.00 |
Single vision plastic lenses | $0.00 | $70.00 |
Lens copay | $10.00 | |
Child Polycarbonate lenses | $0.00 | $125.00 |
St和ard scratch guard coating* | $0.00 | $28.00 |
Frame | $175.00 | $175.00 |
-$150 allowance | ($150.00) | |
-30% discount off $25 balance* | (7.50) | |
Frame copay | $10.00 | |
你付钱→ | $37.50 | $498.00 |
1 Non-insurance benefit provided through the Spectera Eyecare Networks.
2 Savings based on example above 和 using a Provider in the Spectera Eyecare Networks.
总理愿景 is not available in all states. Benefit amounts 和 availability may vary by state. Please contact a licensed agent for more information. Limitations, Waiting Periods 和 Exclusions may apply.
The 总理愿景 Plan provides benefits for covered vision services only. The 总理愿景 Plan is considered an “excepted benefit plan” under the ACA 和 is not a “minimum essential coverage” plan under the ACA. The ACA generally required individuals to maintain “minimum essential coverage” or be subject to the payment of the annual shared responsibility payment with the payment of their taxes to the federal government from 2014 – 2018. Congress eliminated the shared responsibility payment in 2019 和 beyond for individuals who do not maintain ACA “minimum essential coverage” during 2019 or any year thereafter.