Vision Benefits

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 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

PROGRESSIVE LENS ALLOWANCE

COVERED LENS OPTIONS

NETWORK OF PROVIDERS

$140

Member pays difference between lined trifocals and progressive retail cost.

Standard lens options covered in full; additional options not covered Standard lenses and additional lens options covered in full:

• Polycarbonates (dependent

children to age 26)

• Scratch coat • Ultraviolet coat

$165

$120

Best value provided when visiting a contracted Superior Vision provider. 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.