Vision Insurance
EMPLOYEE BENEFITS
Davis Vision ABOUT VISION Vision insurance provides coverage for routine eye examinations and can help with covering some of the costs for eyeglass frames, lenses or contact lenses.
For full plan details, please visit your benefit website: www.mybenefitshub.com/mansfieldisd
Vision Employee Employee + Spouse Employee + Child(ren) Family
$7.20 $12.26 $13.00 $19.48
Frequency Exam: 12 months Lenses & lens upgrades: 12 months Frame: 12 months Contacts, evaluation & fitting: 12 months
Using Your Client Code: Log in using your client code (Mansfield ISD Client Code: 7511) at davisvision.com/member to find a list of in-network providers near you and access your benefit information. The Exclusive Collection: The Exclusive Collection of frames is available at nearly 9,000 locations across the U.S. Log in to browns frames, and find a Collection near you. Free Breakage Warranty: Your glasses are covered with our FREE on-year breakage warranty. Some limitations apply. Find a network provider…Enter your client code in the “Member Sign In” section of our website at davisvision.com/member to locate a provider near you including Visionworks.
Sign up during open enrollment – for more details about the plan, visit davisvision.com/member and enter your Client Code or Options & upgrades call 1 (877) 923-2847 and enter your Client Code when Lens options prompted. Clear plastic single-vision, bifocal, trifocal or lenticular lenses (any RX) Exams and Services Polycarbonate Lenses (Children / Adults) Eye Exam Copay: $10 High-Index Lenses 1.67 Contacts evaluations, fitting and follow up: High-Index Lenses 1.74 • Collection Lens: Covered in full Polarized Lenses • Non-Collection Lens: $0 copay Plus 15% savings Progressive Lenses Lens copay: $25 (Standard / Premium / Ultra / Ultimate)
Frame
Anti-Reflective (AR) Coating
VisionWorks: $200 + Additional 20% off any overage Other Locations: $150 + Additional 20% off any overage -orThe Exclusive Collection copay • Fashion: Covered in full • Designer: Covered in full • Premier: Covered in full
(Standard / Premium / Ultra / Ultimate)
• •
Contacts $150 + Additional 15% off any overage -orThe Exclusive Collection of Contact Lenses: Covered in Full
$0 $0 or $30 $55 $120 $75
$50 / $90 / $140 / $175
$35 / $48 / $60 / $85 Ultraviolet Coating $12 Tinting of Plastic Lenses (Solid / Gradient) $0 Plastic Photochromic Lenses (Transitions® Signature™) $65 Scratch-Resistant Coating $0 Premium Scratch-Resistant Coating $30 Scratch-Protection Plan (Single-Vision/Multifocal) $20 | $40 Trivex Lenses $50 Blue Light Filtering $15
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