Brevard Public Schools Humana Vision Plan Why a
Brevard Public Schools Humana Vision Plan
Why a Comprehensive Eye Health Exam Vision care is essential to maintaining a healthy lifestyle. Eye exams can detect symptoms of diseases such as: § Diabetes § Hypertension § Multiple sclerosis § Brain tumors § Osteoporosis § Rheumatoid arthritis Other Ocular Benefits: § Glaucoma § Cataracts § Macular degeneration § Continuity of care 2
Brevard Public Schools Humana Vision Plan (BASIC) BENEFIT IN-NETWORK OUT-OF-NETWORK* Exams (every 12 months) $0 co-pay $35 Lenses (every 24 months) $0 co-pay $20/$40//$60/$100 Frames (every 24 months) $40 wholesale allowance (up to $120 retail value) $30 $100 allowance $100 Paid in full $100 Contact Lenses (every 24 months) (in lieu of lenses and frames) Medically necessary (prior auth. required)
Brevard Public Schools Humana Vision Plan (ENHANCED) BENEFIT IN-NETWORK OUT-OF-NETWORK* $0 co-pay $35 Frames (every 12 months) $40 wholesale frame allowance (up to $120 retail value) $30 Lenses (every 12 months) $0 co-pay $20/$40/$60/$100 allowance $100 Paid in Full $150 Exams (every 12 months) (eyeglasses/contacts**) Standard single/bifocal/trifocal/lenticular Contacts (every 12 months) (in lieu of lenses and frames) Medically necessary (prior auth. required)
Humana Vision Plan (Wholesale Frame Allowance) § $40 frame allowance = $120. 00 retail price § Benefits will be the same whether you buy your frames at a participating private practice office or retail chain § Members pay 2 X the difference between the wholesale cost and the frame allowance. Ex. ) $120 retail price = $40 wholesale price $50 - $40 allowance = $10 x 2 = $20 member copay
Humana Vision Plan Lens Options are available at wholesale cost through co-payments not discounts Co-pay amounts will be the same whether at a participating private practice office or a participating retail chain Examples of more popular items: Polycarbonate Lenses Photochromics/Transitions Progressives Scratch Resistant UV Protection Anti-Reflective Coatings $28 -$32 $77 -$88 $60 -$270 $16 -$53 $15 $44 -$130 (Shatterproof with a UV coat) (Lenses turn darker in sunlight) (Various levels) (Anti-Scratch Coating) (Ultra-Violet Protection) (Light Reflecting Coating)
Humana Vision Plan Humana – VCP Network Hundreds of private practice optometrists. No difference in benefits when using a private practice optometrist or a retail chain as long as the provider is in network. Retail Chains within the network include:
Humana Vision LASIK Benefits § LASIK benefits are available to any enrolled member § Members can simply show their ID card to a participating LASIK provider and receive a free consultation The network locations listed below offer the following per eye prices: Conventional/Traditional TLC $895 Lasik. Plus $695/$1, 395 Qual. Sight LASIK $895/$1, 295 § Custom $1, 295/$1, 895 $1, 320/$1, 995 You can also use independent LASIK provider network doctors to receive a 10% discount from unusual and customary prices and pay no more than $1, 800 for Conventional or $2, 300 Custom. 8
Questions? Customer Care 1 -866 -537 -0229 9
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