Duke Human Resources
705 Broad Street
Box 90496
Durham, NC 27705
(919) 684-5600
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HR Home >>
Benefits >>
Health & Dental >>
Vision Care >>
Plan Comparison
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Vision Care Plan Chart (2008)
Vision Exam
(once every 12 months) |
$15 co-pay |
$40 |
| Materials Co-pay1 |
$15 co-pay |
Not applicable |
Frames
(once every 24 months) |
Covered-in-full (up to $50 wholesale or $130
retail)2 |
$45 |
| Eyeglass Lenses per pair (once every 12 months) |
| • Single Vision |
Covered-in-full |
$40 |
| • Bifocal |
Covered-in-full |
$60 |
| • Trifocal |
Covered-in-full |
$80 |
| • Lenticular |
Covered-in-full |
$80 |
| Lens Options |
Standard (including progressive, polycarbonate, tints, UV coating, anti-reflective coating, photochromatic,
transition and edge coating) |
Covered-in-full |
Not covered |
| Non-standard |
May be available at a discount |
Not covered |
| Contact Lenses - in lieu of eyeglasses
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| Elective |
| Covered-in-full lenses (including but not
limited to Acuvue® by Johnson & Johnson, Optima® by Bausch & Lomb) |
Covered-in-full (up to 6 boxes) including
evaluation, fitting, and up to two follow-up visits |
$150 |
| All other elective lenses (including but not
limited to toric, gas permeable, bifocal) |
Up to $150 allowance towards the
fitting/evaluation fees and lenses purchase (materials co-pay does not apply) |
$150 |
| Necessary3 |
Covered-in-full |
$210 |
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Materials co-pay is a single payment that applies to the
purchase of eyeglass lenses and frames or contact lenses (in lieu of
eyeglasses). All contact lenses must be purchased at one time.
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Receive a $50 wholesale frame allowance at a private
practice provider or a $130 retail frame allowance at a retail chain provider (a
corporately-owned provider that uses their own lab and materials).
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Determined at the provider's discretion for one or more of
the following conditions: following post-cataract surgery without intraocular
lens implant; to correct extreme vision problems that cannot be treated with
spectacle lenses; certain conditions of anisometropia; certain conditions of
keratoconus. If your provider considers your contacts necessary, you should ask
your provider to contact Spectera concerning the reimbursement that Spectera
will make before you purchase such contacts.
Note: The following services and materials are excluded from coverage under the vision care plan: post cataract lenses;
non-prescription items; medical or surgical treatment for eye disease that requires the services of a physician; Workers'
Compensation services or materials; services or materials that the patient, without cost, obtains from any governmental
organization or program; services or materials that are not specifically covered by the policy; replacement or repair of lenses
and/or frames that have been lost or broken; and cosmetic extras, except as stated in the policy.
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