Vision Plan and Hearing Discounts

Vision Coverage

The Authority offers two (2) fully insured vision benefit plans. The plans are copay programs administered by EyeMed. EyeMed is a leading vision provider, and the plans will allow you to take advantage of their large national provider network. The table below presents a small overview of the two (2) vision plan options: the Base Plan and the Voluntary Buy-Up Plan. For details regarding the vision plans, please refer to the Summary of Benefits that can be found below.

Benefits	Base Plan (In-Network)	Base Plan (Out-of-Network - Reimbursement)	Voluntary Buy Up Plan (In-Network)	Voluntary Buy Up Plan (Out-of-Network - Reimbursement)
Exams	$20 copay 1x every 12 months	Up to $40	$0 copay 1x every 12 months	Up to $40
Frames	$0 Copay; $100 Allowance, 20% off balance over $10 1x every 12 months	Up to $70	$0 Copay; $200 Allowance, 20% off balance over $200 1x every 12 months	Up to $140
Most Lenses	$25 copay 1x every 12 months	Single – up to $30 Bifocal – up to $50 Trifocal – up to $70	$0 copay 1x every 12 months	Single – up to $30 Bifocal – up to $50 Trifocal – up to $70
Contacts Conventional (in lieu of Frames & Lenses)	$0 Copay; $100 Allowance, 15% off balance over $100 1x every 12 months	Up to $100	$0 Copay; $200 Allowance, 15% off balance over $200 1x every 12 months	Up to $200
Contacts Disposable (in lieu of Frames & Lenses)	$0 Copay; $100 Allowance, plus balance over $100 1x every 12 months	Up to $100	$0 Copay; $200 Allowance, plus balance over $200 1x every 12 months	Up to $200
Contacts (medically necessary)	$0 copay, Paid in Full	Up to $210	$0 copay, Paid in Full	Up to $210

The Authority provides the Base Plan at no cost to employees and their covered dependents. Employees who elect the Voluntary Buy-Up Plan are required to contribute toward the cost of that plan. Contributions will be withheld on a Section 125 pre-tax basis over 24 pays per year (2x per month) in the amounts shown below.

Coverage Tier	Base Plan	Voluntary Buy-Up Plan
Employee Only	$0	$4.67
Employee and Child(ren)	$0	$9.34
Employee and Spouse	$0	$8.88
Employee and Family	$0	$13.74

NOTE: In partnership with AMPLIFON, you may also be eligible for discounts on hearing care and devices through EyeMed. Refer to the Hearing Discounts Flyer below.

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Vision Coverage

NOTE: In partnership with AMPLIFON, you may also be eligible for discounts on hearing care and devices through EyeMed. Refer to the Hearing Discounts Flyer below.

Benefits Disclaimer