NUSS - Vision Coverage

All Support Staff and their covered dependents who participate in Columbia’s medical plan are covered by a basic vision benefit.

To search for a vision provider, log in to www.myuhcvision.com and search by name, specialty and location.

Basic Vision Coverage

Benefit: Routine Eye Exams
Choice Plus 90 (Benefits apply to both In-Network and Out-of-Network): Adults: One exam every 12 months with a $10 copay.
Child(ren):** One exam every 12 months with a $10 copay.

Benefit: Lenses*
Choice Plus 90 (Benefits apply to both In-Network and Out-of-Network): Adults: Every 24 months, $20 allowance for single lenses, $30 for bifocal, $40 for trifocal or $75 for lenticular.
Child(ren):** Lenses covered in full every 12 months. More frequently if medically necessary.

Benefit: Frames*
Choice Plus 90 (Benefits apply to both In-Network and Out-of-Network): Adults: $30 allowance every 24 months.
Child(ren):** Up to $100 covered in full every 12 months. Cost above $100 covered at 60%. More frequently if medically necessary.

Benefit: Contact Lenses*
Choice Plus 90 (Benefits apply to both In-Network and Out-of-Network): Adults: $75 allowance every 24 months. Medically necessary contact lenses covered at 100% every 12 months.
Child(ren):** Single purchase of a pair of contact lenses or 1 box of contact lenses per eye covered at 100% every 12 months. Up to $100 maximum out-of-network allowance. Medically necessary contact lenses covered at 100% every 12 months.

^{* Available for either frames and lenses or contact lenses for adults and children.

** Child is defined as a member less than age 19.}

To search for a vision provider, log in to myuhc.com; click “Coverage & Benefits,” “Vision,” then “Vision benefit highlights” and “Find a Provider.”

Note: Provider may require payment in full at the time of service. The patient then submits a claim to UHC for reimbursement.

Benefit: Routine Eye Exam
Choice In-Network (Benefits apply In-Network only): Adults: One exam every 12 months with a $10 copay.
Child(ren):** One exam every 12 months with a $10 copay.

Benefit: Lenses*
Choice In-Network (Benefits apply In-Network only): Adults: Every 24 months, $20 allowance for single lenses, $30 for bifocal, $40 for trifocal or $75 for lenticular.
Child(ren):** Lenses covered in full every 12 months. More frequently if medically necessary.

Benefit: Frames*
Choice In-Network (Benefits apply In-Network only): Adults: $30 allowance every 24 months.
Child(ren):** Up to $100 covered in full every 12 months. Cost above $100 covered at 60%. More frequently if medically necessary.

Benefit: Contact Lenses*
Choice In-Network (Benefits apply In-Network only): Adults: $75 allowance every 24 months. Medically necessary contact lenses covered at 100% every 12 months.
Child(ren):** Single purchase of a pair of contact lenses or 1 box of contact lenses per eye covered at 100% every 12 months. Up to $100 maximum out-of-network allowance. Medically necessary contact lenses covered at 100% every 12 months.

^{* Available for either frames and lenses or contact lenses for adults and children.

** Child is defined as a member less than age 19.}

To search for a vision provider, log in to myuhc.com; click “Coverage & Benefits,” “Vision,” then “Vision benefit highlights” and “Find a Provider.”

Note: Provider may require payment in full at the time of service. The patient then submits a claim to UHC for reimbursement.

Optional Vision Plan

Monthly Contributions for Optional UHC Vision

Contribution
Yourself Only: $5.23
Yourself & Child(ren): $12.11
Yourself & Spouse: $9.69
Family: $16.96

For enhanced vision benefits, you can elect to purchase optional UHC vision coverage in place of the basic vision coverage for you and your covered dependents. You do not have to be enrolled in a medical plan to purchase this coverage.

In-Network Coverage: Adults: One exam every 12 months with a $10 copay. For pregnant/breastfeeding women and individuals with diabetes, two exams every 12 months with a $10 copay.
Child(ren):* One exam every 12 months plus one additional exam ages 0-12; with a $10 copay.
Out-of-Network Coverage: Adults: One exam every 12 months, plan pays up to $40. For pregnant/breastfeeding women and individuals with diabetes, two exams every 12 months with a $40 per exam.
Child(ren):* One exam every 12 months plus one additional exam ages 0-12; plan pays up to $40 per exam.

^{* Child is defined as a member less than age 19.}