Vision Insurance

avesis

With over 30 years of experience building solutions for more than 6,500 employer groups, Avesis is recognized as a company who delivers quality vision care at affordable premiums to more than 3.6 million members. The Contractors Plan offers access to one of the most comprehensive vision care networks in the industry. By contracting with over 25,000 providers from private practice and retail chains, Avesis can deliver excellent coverage, a high quality of care, and nationwide choices to our members.

The Contractors Plan Member Cost National Average Retail Cost Max Out-of-Network Reimbursement
Exam $10.00 $60.00 $45.00
Standard Single Vision $0.00 $53.00 $35.00
Standard Bifocal $0.00 $76.00 $45.00
Standard Trifocal $0.00 $119.00 $55.00
Progressive $0.00 $150.00 $45.00
Frame $0.00 $100.00 $40.00
Contact Lenses (Elective) $110.00 Allowance $120.00+ $110.00
Contact Lenses (Medically Necessary) $250.00 Allowance $250.00

Frames: Providers typically charge between $75 - $100* for frames covered in full by the plan allowance.**

Lenses: Standard lenses are covered in full. Providers typically charge between $60 - $120* for standard lenses.

Contact Lenses: In lieu of frames and spectacle lenses, members receive an allowance up to $110 for materials and fit and follow-up exam. Medically necessary contact lenses are covered in full (prior authorization is required)

Progressive Lenses: Discounted up to 20% off retail in addition to a $50 allowance.

Specialty Lenses: Discounted up to 20% off retail in addition to the corresponding standard lens allowance.

LASIK Surgery: 5% - 25% off retail.

Lens Options, Non-Covered items and Additional Purchases: Discounted up to 20% off retail.

*Values provided may be more or less depending on the provider's retail pricing.

**Provider wholesale frame pricing for the plan is $35. Participating Wal-Mart locations cover frames up to a $52 retail value.

  • Benefit Frequency
  • Vision Exam12 Months
  • Spectacle Lenses12 Months
  • Frames12 Months
  • Contact Lenses12 Months
  • Member Co-pays
  • Vision Exam$10.00
 

Fringe Benefit Group:  The prevailing wage benefits experts.