Benefits to the employer, employee and provider include an experienced live answer customer support staff to answer questions and assist with claims.
Employer
- Group plans for employer funded, voluntary payroll deduction, and combination.
- Monthly statements include member roster for easy reconciliation.
- Enrollment:
- paper enrollment forms are accepted and processed by our team
- employer is able to enroll employees online
- we have the capability to receive electronic data file feeds
- Any enrollment changes can be submitted by email for immediate attention
- Our plan can be an alternative option to another vision carrier provided by the employer
Employee/Member
In network coverage
- Eye exams covered at 100% (no co-pay).
- Eye exams are not limited to one per year.
- All materials at wholesale cost. (Frames, lenses, lens options and contacts)
- Unlimited number of prescription glasses.
- Annual supply of contact lenses
- Members are eligible for both glasses and contacts in the same plan year.
- Savings up to $1000 on Lasik at nJoy Vision in Oklahoma City and OMEG in Tulsa.
Out of network coverage
Out of network benefits are available in lieu of network benefits. Members are responsible for all charges up front and are required to submit a copy of the paid itemized receipt. Out of network limited to one exam and one pair of prescription glasses or contact lens supply per plan year. Maximum out of network reimbursements are $40 towards an exam and up to $60 for prescription glasses or contacts.
Plan limitations and exclusions
- Medical eye care.
- Virtual exams.
- Vision therapy.
- Non-routine vision eye services and tests (for details call 888.357.6912).
- Non-prescription eyewear.
Luxury frames and premium lenses will receive a 20% discount off the retail price. (Luxury frames/any frame with a wholesale cost of $125 or more and premium lenses/any lens with a wholesale cost of $375 or more.)