To access benefit information and temporary vision cards, please log into EyeMed’s site (External Site)
- EyeMed Vision Benefit Summary
- EyeMed Vision Plan Description
- EyeMed Claim Form
- EyeMed.com (External Site) (search for ACCESS network providers)
- Mobile Application
The University believes that overall “health” is achieved as individuals take control of their overall preventive health needs. Part of your overall health is ensuring that you have your annual eye exam. The Vision Plan provides coverage for quality vision care for you and your family’s eye care needs and has benefits to assist with the costs relating to annual exams, frames, lenses and contact lenses.
Dependent children may be covered up to age 26. Also, if you cover one (1) dependent child under the vision plan, you must cover all eligible dependent children.
Employees will be able to choose a provider from EyeMed’s network for maximum savings and virtually no paperwork. However, employees may also seek eye care from an out-of-network provider. With out-of-network providers, employees will be responsible for paying the provider in full at the time services are rendered and then file a claim form to receive reimbursement.
Schedule of EyeMed Vision Benefits effective January 1, 2017
| Benefit | In-Network Plan Coverage | Out-of-Network Plan Reimbursement |
|---|---|---|
Examination – one per calendar year Including but not limited to:
| Covered in full after a $20 copay | Up to $80 allowance |
| Base Lenses (one pair per calendar year): | In-Network Plan Coverage | Out-of-Network Plan Reimbursement |
|---|---|---|
| Single Vision Allowance | Covered in full | Up to $50 allowance |
| Bifocal Allowance | Covered in full | Up to $75 allowance |
| Trifocal Allowance | Covered in full | Up to $75 allowance |
| Lenticular Allowance | Covered in full | Up to $100 allowance |
| Standard Progressive Lens | Covered in full after $20 copay | Up to $80 allowance |
| Premium Progressive Lens | Covered in full after $20 copay | Up to $196 allowance |
| Contact Lenses (retail allowance): | In-Network Plan Coverage | Out-of-Network Plan Reimbursement |
| Conventional | $150 allowance + 15% off balance | Up to $150 allowance |
| Disposable | $150 allowance | Up to $150 allowance |
| Medically necessary | Covered in full | Up to $210 allowance |
| Frame Retail Allowance*(one per calendar year) | $150 allowance + 20% off balance | Up to $90 allowance |
**The vision premiums for biweekly employees will be deducted in 24 equal installments over the course of the calendar year. In those 2 months during the year when there is a third biweekly pay period, employees will have no premium deducted.
UMS Employee Benefits Center
Email: benefits@maine.edu Website: www.maine.edu/benefits
Phone: toll-free 1-866-269-9635 or local 207-973-3373
The University of Maine System is an equal opportunity institution committed to nondiscrimination.
