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
SUPERIOR VISION
SUPERIOR NATIONAL NETWORK
SUPERIOR NATIONAL NETWORK
In-Network
Out-of-Network
Routine Vision Exams
Ophthalmologist
$10 co-pay
Plan reimburses up to $45
Optometrist
$10 co-pay
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
Plan provides a $150 retail allowance
Plan reimburses up to $74
Standard Plastic Lenses
Single Vision
$10 co-pay
Plan reimburses up to $32
Bifocal
$10 co-pay
Plan reimburses up to $46
Trifocal
$10 co-pay
Plan reimburses up to $60
Contact Lenses
Contact benefits is in lieu of lens and frame benefits
Prescription Medically Necessary
Covered in full
Plan reimburses up to $210
Prescription Elective (in lieu of eyeglasses)
Plan provides a $200 retail allowance
Plan reimburses up to $100
Contact Lens Fitting Exam
$30 co-pay
Not Covered
EMPLOYEE COST PER PAY PERIOD
Employee Only
$3.50
Employee + Spouse
$8.67
Employee + Child(ren)
$8.06
Employee + Family
$13.22
