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Human Resources

Vision Care Insurance

Vision Care Insurance Policy Booklet

Describes eligibility, enrollment, and administrative procedures.

Download the PDF From Nebraska.edu
Premium/Price Tag Information

EyeMed Vision Care Insurance

EyeMed Vision Care provides comprehensive vision care benefits to help ensure you and your dependents receive quality eye care from a network of professional eye care providers. Participation allows you and your dependents to obtain an eye examination, glasses, or contact lenses from a network provider at an affordable cost. You may participate in the vision care plan or elect no coverage. The choice that you make now will be in effect through December 31, 2009.

The EyeMed Vision Care Provider Network Directory for Nebraska may be viewed on the University of Nebraska benefits Web page at www.nebraska.edu/benefits. Network participation information may also be obtained by calling EyeMed Vision Care at (877) 226-1115.

Insurance and Benefit Provider Information

EyeMed Vision Care
http://eyemedvisioncare.com
Customer Service Number
(877) 226-1115

Forms & Links

Summary of Vision Benefits

In-Network Member Cost Benefit Frequency Out-of-Network Allowance
Examination with dilation $10 copay Annual Up to $35
Frames 80% of retail price over $100 allowance Annual Up to $38
Standard Plastic Lenses
Single Vision $10 copay Annual Up to $25
Bifocal $10 copay Annual Up to $40
Trifocal $10 copay Annual Up to $55
Standard Progressive $10 copay Annual Up to $50
Contact Lenses Fit and Follow-up
Standard Up to $55 Annual N/A
Premium 90% of retail price Annual N/A
Contact Lenses Allowance
Conventional 85% of balance over $75 allowance Annual Up to $60
Disposable Balance over $75 allowance Annual Up to $60
Medically Necessary $0 Annual Up to $200
Laser Surgery
15% off retail price or 5% off promotional Unlimited N/A

Issues to Consider

  • If you use the services of a non-EyeMed network provider, you may experience higher out-of-pocket costs due to lower out-of-network allowances.
  • Enrollment of any dependent into the vision care plan requires completion of the "Medical, Dental, and Vision Care Insurance Dependent Information Request Form," which is included in the appendix.
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