Taking care of your vision is one of the best things you to keep perfect focus. That’s why K-C, in partnership with EyeMed, offers comprehensive vision coverage to eligible employees and family members.
How the Plan Works
There’s a lot to know about how to get the best value from your vision coverage. Make sure to review the mechanics of the plan, to avoid any surprises down the road.
Exams and Services
|Annual Exam||Covered 100% after $15 copay||Plan pays up to $35 allowance|
|Retinal Imaging Services||Plan pays $39||Not covered|
Frames and Lenses
|Frames (only once every 24 months)||You get up to $150 allowance with purchase of lenses; you pay 80% of remaining balance, at time of service||You get up to $75 allowance with purchase of lenses; you pay 100% of remaining balance, at time of service|
|Standard Plastic Lenses (single, bi, tri, lenticular)||Covered 100% after $25 copay||Allowances: $25 single vision, $40 bifocals, $60 trifocals, $60 lenticular|
|Progressive Lenses: Standard||$90 copay||You get up to $40 allowance|
|Progressive Lenses: Premium||$90 copay, plus you pay 80% of charges over $120||You get up to $40 allowance|
|UV Coating||You pay $15||Not covered|
|Tint||You pay $0||You get up to $5 allowance|
|Scratch Resistance||You pay $0||You get up to $8 allowance|
|Polycarbonate||You pay $0||You get up to $20 allowance|
|Anti-reflective||You pay $45||Not covered|
|Other add-ons||20% discount||Not covered|
|Fitting (Standard Lens Benefit)||You pay up to $40 of usual & customary charge||Not covered|
|Fitting (Premium Lens Benefit)||You receive 10% discount off of usual & customary charge||Not covered|
|Medically Necessary||Covered 100% in lieu of glasses||Plan pays up to $200 allowance in lieu of eyeglasses|
|Non-Disposable / Daily Wear||You get up to $150 allowance in lieu of glasses; you pay 85% of remaining balance, at time of service||You get up to $100 allowance in lieu of glasses; you pay 100% of remaining balance, at time of service|
|Disposable||You get up to $150 allowance in lieu of glasses; you pay 100% of remaining balance, at time of service||You get up to $100 allowance in lieu of glasses; you pay 100% of remaining balance, at time of service|
You’ll receive an ID card when you first enroll. While you may not always be asked to present it when you receive care, keep it handy to make sure the correct coverages and discounts are applied. You can also request an extra ID card through the EyeMed Customer Care Center.
If you have already used up a vision benefit (as described in the In-Network and Out-of-Network Benefits tables) but you have further vision needs, you are eligible for discounts as a participant in the plan.
- A further 20% discount on remaining frame and lens balances from EyeMed providers, after your plan benefits have been applied. (Some exclusions apply, and you can’t combine this discount with other offers.)
- A 40% discount on the retail price of additional complete pairs of eyeglasses, purchased after your first pair. You’ll need to ask for any optional lens add-ons when purchasing.
- A 15% discount on the retail price on standard contact lenses, after you’ve used your contact lens benefit.
Laser Vision Benefit
To take advantage of the plan’s laser vision benefit, you should plan to have your LASIK or PRK pre-operative, surgical, and post-operative treatments performed by a provider in the U.S. Laser Network (which includes LasikPlus Centers). This way, you’ll receive a 15% discount on pre-operative care (or a 5% discount on promotional pricing).
If your surgical provider is a LasikPlus Center (or another in the U.S. Laser Network) but you receive pre-operative and post-operative care from a different facility, you may pay more to the other provider and miss out on the discount.
To locate the nearest in-network (U.S. Laser Center) provider, call 877-5-LASER-6 (877-552-7376).
2018 Annual Vision Paycheck Costs
For More Information
If you have questions about the Vision Plan or need more information, take a look at the Summary Plan Descriptions on K-C Benefit Compass. Click on the Plan Information tile, scroll down, and choose Summary Plan Descriptions and Policy Booklets.