Vision benefit savings Get an eye exam, plus discounts on frames, lenses and other services When you enroll in a health plan from UnitedHealthcare, you get 100 percent coverage for a routine eye exam, after your copayment, when you see a Routine Vision Network provider. In addition, you save even more when you purchase eyewear through our network of vision providers. Take advantage of discounts on frames, and lenses, including access to discounts for laser vision correction surgery. Review your health plan benefit information for details. See the clear savings. Routine exam Covered 100 percent after your office visit copayment Frames1 Up to a 30% discount off retail price 10% discount at participating Walmart® and Sam’s Club® locations Eyeglass lenses Single vision lenses You pay $45 or less, if retail cost is lower Trifocal lenses You pay $95 or less, if retail cost is lower Bifocal lenses Contact lenses2 2 No limit on network purchases Fitting and materials (includes disposable lenses) Up to a 20% discount Disposable lenses only You pay total cost Non-disposable lenses 1 You pay $65 or less, if retail cost is lower Up to a 20% discount No limit on purchases from network private practice providers Frame discounts do not apply when prohibited by frame manufacturer. Contact lens discounts apply to private practice locations only. Discounts do not apply at most retail locations. Access to laser vision correction discounts You will have access to discounts for laser vision correction procedures through our partnership with the Laser Vision Network of America. See the back side for details. Learn more about eye wear and discounts Frames Top manufacturers and importers provide all the frames you purchase from our network providers. And all of our frames come with warranties against defects. You can choose from the most popular styles, available for all ages and tastes. Lenses We work with top national labs to make sure the power and size of your lense are right the first time. You also can get great prices on different lens options including progressive, anti-reflective, UV coatings and tints. Laser vision correction While laser vision correction is not a covered benefit, UnitedHealthcare has partnered with the Laser Vision Network of America to provide our members with access to discounted laser vision correction providers. Members receive 15% off usual and customary pricing, 5% off promotional pricing at over 500 network provider locations and even greater discounts through set pricing at LasikPlus locations. For more information, call 1-888-563-4497 or visit us at www.uhclasik.com. What does that mean? Network/network provider: A group of eye doctors or vision care facilities that have contracts with an insurance company to provide care or services at special rates; also called “in-network” or “participating network” provider Non-network provider: An eye doctor or vision facility that does not participate in our network; may provide services at a higher cost; also called “out-ofnetwork” or “non-participating network” provider UnitedHealthcare Insurance Company Walmart® and Sam’s Club® are registered trademarks of Wal-Mart Stores, Inc. Information for individuals residing in the state of Louisiana or have policies issued in Louisiana: Health care services may be provided to you at a network health care facility by facility-based physicians who are not in your health plan. You may be responsible for payment of all or part of these fees for those non-network services, in addition to applicable amounts due for copayments, coinsurance, deductibles, and non-covered services. Specific information about network and non-network facility-based physicians can be found at myuhc.com or by calling the toll-free Customer Care telephone number that appears on the back of your health plan ID card. UnitedHealthcare Vision® coverage provided by or through UnitedHealthcare Insurance Company, located in Hartford, Connecticut, or its affiliates. Administrative services provided by Spectera, Inc., United HealthCare Services, Inc. or their affiliates. Plans sold in Texas use policy form number VPOL.06 and associated COC form number VCOC.INT.06.TX. 100-3381 1/11 Consumer © 2011 United HealthCare Services, Inc.
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