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HR Home >> Benefits >> Open Enrollment 2009 >> Vision Care

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BENEFITS OPEN ENROLLMENT 2009

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Your Vision Care Plan Option

Questions About the Plan?
Questions about the plan?If you have questions about the vision care plan or would like to find a network provider, you may visit www.myUHCSpecialtyBenefits.com or call 1-800-638-3120.

While Duke's health plans provide coverage for annual eye exams, Duke offers a nationwide vision care plan to manage the cost of eyeglasses and contact lenses, as well as eye examinations. This plan is a voluntary employee paid plan for active employees and their eligible family members. The vision plan, administered by United Healthcare Vision (formerly Spectera), one of the largest vision care programs in the country, allows you to pay for vision benefits on a pre-tax basis. You do not need to be enrolled in any of Duke's health plans to participate in the vision plan.

Vision Plan Coverage

The vision care plan provides coverage for prescription lenses and frames, contact lenses (in lieu of eyeglasses), and a complete annual eye exam for a low monthly premium. Under the plan, you can visit an optometrist or ophthalmologist within the United Healthcare Vision network or you may choose to visit an out-of-network provider, which may result in higher out-of-pocket costs. If you visit an out-of-network provider, you must submit a claim to be reimbursed.

For further details about the vision plan, please refer to the Vision Care Plan Chart and the Vision Care Premiums.

Note: The Duke Eye Center is not a participating member of the United Healthcare Vision network.
 

Example — Cost Comparison of Duke's Vision Plan

Below is an at-a-glance comparison of how your out-of-pocket expense may vary without vision care coverage and with coverage under the Duke Vision Plan.

Service Estimated Provider Charge Duke Vision Plan
Annual Eye Exam $65 $15 co-pay
Materials Not applicable $15 co-pay
Bifocal Lens $115 $0
Standard Scratch-Resistant Coating $23 $0
Frames (retail) $130 $0
Total estimated out-of-pocket expenses you pay $333 $30

Anyone enrolled in one of Duke's health plans can continue to receive coverage for an annual eye exam with the health plan's co-pay including out-of-network physicians at the Duke Eye Center. If you enroll in the vision plan, United Healthcare Vision will reimburse you when you submit a claim for your health plan's vision examination co-pay if you visit a provider outside of United Healthcare Vision's network.

 

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