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.

EyeMed Summary of Benefits thumbnail_Page_1
EyeMed Summary of Benefits
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Hearing Discounts Flyer
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