VISION PLAN OPTIONS There are no changes to the vision plan design this year. We are also pleased to announce there will be a decrease in monthly premiums for both the Basic and Plus plans. You and your eligible dependents have the option to enroll in the basic plan or the Plus plan (offering enhanced benefits), both administered by Superior Vision. While both plans cover most of the same types of services, the Plus plan includes some additional benefit at a slightly higher premium. Compare the benefits closely to select the plan that best meets your or your family’s particular needs. See below for some examples.
PLAN DESIGN FEATURES
SUPERIOR VISION PLAN
SUPERIOR VISION PLUS PLAN
ANNUAL EXAM COPAYMENT
$35 COPAY
$35 COPAY
FRAME ALLOWANCE
$140
$165
PROGRESSIVE LENS ALLOWANCE
Member pays difference between lined
$120
trifocals and progressive retail cost.
Standard lenses and additional lens options covered in full:
COVERED LENS OPTIONS
Standard lens options covered in full; additional options not covered
• Polycarbonates (dependent children to age 26) • Scratch coat • Ultraviolet coat
Best value provided when visiting a contracted Superior Vision provider.
NETWORK OF PROVIDERS
Please contact Superior Vision customer service before you receive services to confirm if your provider is in-network.
For additional information about each of the current UT vision plans briefly described above, please visit the OEB website. Plan limitations and exclusions do apply for each of these plans. For specific details about plan benefits and coverage, please contact Superior Vision customer service at (844) 549-2603.
Annual Enrollment & Resource Guide | for Employees
15
REVIEW
Vision Benefits
