Eye Med discounts with Dental PPO

1. The EyeMed Access Plan D is a discount-only plan providing reduced fees for exams,
frames, lenses and contact lenses. The fees apply when a complete pair of eyeglasses is
purchased; otherwise the discount is 20% off the retail price. All discounts are provided at
the point-of-service and the frequency is unlimited.
*Frame, lenses and lens options discounts apply only when purchasing a complete pair of eyeglasses. If purchased
separately, members receive 20% off the retail price.
The plan is based on a 24-month contract term and 24-month rate guarantee. Members will receive a 20% discount on items
not covered by the plan at in-network providers. Benefits may not be combined with any discount, promotional offering, or
other group benefit plans. The discount does not apply to professional services or contact lenses. Allowances are on-time
use benefits; no remaining balance. Lost or broken materials are not covered. After initial purchase, replacement contact
lenses may be obtained via the Internet at great prices and mailed directly to the member. For Washington only, the plan is
underwritten by Fidelity Security Life Insurance Company of Kansas City, Missouri.
EyeMed Access Plan D
Frequency:
Laser Vision Correction:
Complete Pair Eyeglass Purchase Discounts*:
Standard Plastic Lenses:
Contact Lenses: (Discount applies to materials only)
$5 off comprehensive exam
$10 off contact lens exam
- Frames, lenses and lens options purchased in same transaction
Exam with Dilation as Necessary:
Member BenefitVision Care Services
Any available frame at provider location
Exam, Frame, Lenses and Contact Lenses
15% off the retail price – or -
5% off promotional price
LASIK or PRK from U.S. Laser Network
35% off the retail price
$15
$15
$40
$45
$65
20% off the retail price
UV Coating
Tint (Solid and Gradient)
Standard Polycarbonate
Standard Anti-Reflective Coating
Standard Progressive (Add-on to Bifocal)
Other Add-Ons and Services
Unlimited
Single Vision $50
Bifocal $70
Trifocal $105
Conventional 15% off the retail price
Frames:
Lens Options:
Plan Features:
Access to over 30,000
providers at 16,000 locations
including private practice
providers and the nation’s
leading optical retailers:
Choice of any available
frame at the provider
location, including quality
brand-name fashion eyewear
Savings of up to 35%
off retail price at an
unlimited frequency.
Provider Choice
Product Choice
Value
www.eyemedvisioncare.com