Vision
Our vision care benefits include coverage for eye exams, lenses and frames, contact lenses, and discounts for laser surgery.
Premiums (Bi-Weekly)
| Coverage Tier | You Pay | NOVA Pays |
|---|---|---|
| Employee | $4.56 | $0.00 |
| Employee + Spouse | $8.61 | $0.00 |
| Employee + Child(ren) | $8.10 | $0.00 |
| Family | $10.13 | $0.00 |
Employee
- You Pay
- $4.56
- NOVA Pays
- $0.00
Employee + Spouse
- You Pay
- $8.61
- NOVA Pays
- $0.00
Employee + Child(ren)
- You Pay
- $8.10
- NOVA Pays
- $0.00
Family
- You Pay
- $10.13
- NOVA Pays
- $0.00
Coverage Details
| In-network | |
|---|---|
| Examination (every plan year) | $0 |
| Material | $0 |
| Lenses (every plan year) - Single | $0 |
| Lenses (every plan year) - Bifocal | $0 |
| Lenses (every plan year) - Trifocal | $0 |
| Frames (every plan year) - New frames | $150 Allowance |
| Contact lenses (every plan year) - Elective | $200 Allowance |
| Contact lenses (every plan year) - Medically necessary | Covered in Full |
Examination (every plan year)
- In-network
- $0
Material
- In-network
- $0
Lenses (every plan year) - Single
- In-network
- $0
Lenses (every plan year) - Bifocal
- In-network
- $0
Lenses (every plan year) - Trifocal
- In-network
- $0
Frames (every plan year) - New frames
- In-network
- $150 Allowance
Contact lenses (every plan year) - Elective
- In-network
- $200 Allowance
Contact lenses (every plan year) - Medically necessary
- In-network
- Covered in Full
Plan Notes
- Our vision care benefits include coverage for eye exams, lenses and frames, contact lenses, and discounts for laser surgery.
- Consider using an in-network provider for the most bang for your buck when you need services!