Where can I get an eye exam?Can I get both glasses and contacts?Is LASIK covered?
Network Options: Superior National Network
Superior Vision’s nationwide network of refractive surgeons offers Superior National Network members a discount on services. These discounts may vary by provider and should be verified prior to service. Some providers in the network include:
- America’s Best
- Costco Optical
- Eyeglass World
- LensCrafters
- Pearle Vision
- Sam’s Club Optical
- Shopko Optical
- Target Optical
- Visionworks
- Walmart Vision Centers
(800) 507-3800 | superiorvision.com
Vision Plan
Download the Superior Vision App from the Apple Store or Google Play
Login with the username and password you use to access your Member account on the superior vision website. In the app you can view your vision benefits, locate a provider, and view, print, or email your member ID card.
Out-of-network coverage
While out-of-network coverage is available for this plan, please be aware that you will be responsible for paying the cost + any applicable copay upfront and then submitting your claim to Superior Vision to be reimbursed up to the maximum plan reimbursement for a covered service.
Login with the username and password you use to access your Member account on the superior vision website. In the app you can view your vision benefits, locate a provider, and view, print, or email your member ID card.
Out-of-network coverage
While out-of-network coverage is available for this plan, please be aware that you will be responsible for paying the cost + any applicable copay upfront and then submitting your claim to Superior Vision to be reimbursed up to the maximum plan reimbursement for a covered service.
Superior National Network
In-Network
Out-of-Network
Routine Vision Exams
Ophthalmologist
Optometrist
Ophthalmologist
Optometrist
$10 copay
$10 copay
Plan reimburses up to $45
Plan reimburses up to $39
Frequency
Vision Exams
Once per calendar year
Frames
Once per calendar year
Lenses
Once per calendar year
Contact Lens Fitting Exam
Once per calendar year
Contact Lenses
Once per calendar year
Eyeglasses
Frames
$130 allowance based on retail pricing 1
Plan reimburses up to $63
Standard Plastic Lenses
Single Vision Lenses
$10 copay
Plan reimburses up to $32
Bifocal Lenses
$10 copay
Plan reimburses up to $39
Trifocal Lenses
$10 copay
Plan reimburses up to $60
Contact Lenses 2
Prescription Medically Necessary
Covered in full
Plan reimburses up to $210
Elective Prescription
$130 allowance based on retail pricing 1
Plan reimburses up to $100
Contact Lens Fitting Exam
$30 copay
Not Covered
1 10 - 20% discount off the amount over the $130 allowance.
2 Contact benefits are in lieu of lens and frame benefits — the plan only covers glasses OR contact in a single plan year.
This information is designed to help you choose a benefit plan for 2022 only. Please refer to the Plan Documents provided by the carrier for information regarding coverage, limitations and exclusions. If there is a difference between this guide and the Plan Documents, the Plan Documents prevail.
2 Contact benefits are in lieu of lens and frame benefits — the plan only covers glasses OR contact in a single plan year.
This information is designed to help you choose a benefit plan for 2022 only. Please refer to the Plan Documents provided by the carrier for information regarding coverage, limitations and exclusions. If there is a difference between this guide and the Plan Documents, the Plan Documents prevail.
Tax Considerations
In general, you pay for vision coverage before federal, state, and social security taxes are withheld, so you pay less in taxes. Please note that domestic partner contributions are regulated by the IRS and generally must be made on an after-tax basis. Similarly, the company contribution toward the cost of domestic partner coverage and his/her dependents is taxable income to you. Contact your tax advisor for more details on how this tax treatment applies to your specific situation.
In general, you pay for vision coverage before federal, state, and social security taxes are withheld, so you pay less in taxes. Please note that domestic partner contributions are regulated by the IRS and generally must be made on an after-tax basis. Similarly, the company contribution toward the cost of domestic partner coverage and his/her dependents is taxable income to you. Contact your tax advisor for more details on how this tax treatment applies to your specific situation.
Superior Vision Plan Premiums
Total Monthly
Premium
Premium
SimpleNexus
Monthly Cost
Monthly Cost
Employee
Monthly Cost
Monthly Cost
Employee Per
Pay Period Cost
Pay Period Cost
Employee (EE) Only
$6.64
$4.13
$2.51
$1.26
EE + One Dependent
$12.97
$8.06
$4.91
$2.46
EE + Family
$20.51
$12.76
$7.75
$3.88
