While Duke's medical plans provide coverage for annual eye exams, Duke also offers a nationwide vision care plan to manage the cost of eyeglasses and contact lenses, as well as eye examinations. The vision plan, administered by UnitedHealthcare Vision, allows you to pay for vision benefits on a pre-tax basis. You do not need to be enrolled in any of Duke's medical 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 UnitedHealthcare 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.
The vision plan covers:
- One vision exam every 12 months ($30 co-pay in network)
- Eyeglass lenses or contacts once every 12 months ($15 materials co-pay)
- Frames once every 24 months (covered in full up to $130 allowance)
If you have questions about the vision care plan or would like to find a network provider, you may call 1-800-638-3120 or visit this web site.
Note: The Duke Eye Center is not a participating member of the UnitedHealthcare Vision network for eye exams. However, your Duke medical plan provides coverage for an annual eye exam and you are able to use this benefit with out-of-network providers. Additionally, the Eye Care Associates store at the Duke Eye Center accepts the vision plan insurance coverage for the purchase of frames and lenses.
For more information, please see the Vision Care Plan Description (PDF).
Eyeing the Costs
Below is an at-a-glance comparison of how your out-of-pocket expenses may vary depending on whether you have vision care coverage.
|Service||For a person purchasing with Duke's Vision Insurance at a network provider||For a person purchasing at a retail chain with no insurance|
|Comprehensive eye exam with refraction||$30||$136|
|Designer frames (up to $130)||$0||$130|
|Progressive bifocal lens with anti-reflective coating||$0||$545|
|Transition tinting to darken lenses in sunlight||$0||$100|
|Annual Premium ($113) for individual||$113||$0|
|TOTAL ANNUAL OUT-OF-POCKET EXPENSE||$158||$911|