- No claim forms are required. Claims (in or out of network) will be paid by UnitedHealthcare Vision.
- You may have an eye exam and lenses (or contacts) once every 12
months.
- You may have frames once every 24 months.
Exam--once every 12 month |
$10 copay |
Lenses--per pair--once every 12 months
Frames--once every 24 months |
$20 co-pay for materials |
Contact lenses--once every 12 months |
Instead of frames and lenses, at the $20 co-pay, you may select contact lenses. Four boxes (12 pairs) of covered disposables are included when obtained from a Network Provider. Non-selection contacts are available at a $125 total allowance. |
To locate a provider or for more detailed benefits information, click on the UnitedHealthcare Vision logo above.
To view the UnitedHealthcare Vision brochure, click here. (Requires Adobe Reader
)
Members with Kaiser coverage receive their vision care through Kaiser. To contact Kaiser Customer Service, call 800-464-4000.
| Exam--once every 12 month |
$10 co-pay |
Lenses--per pair--once every 12 months
Frames--once every 24 months |
$125 eyewear allowance once every 24 months--covers frames and lenses or contact at Kaiser facilities only |
| Contact lenses |
Included in the $125 eyewear allowance once every 24 months. |