Superior Vision Services
TOLL FREE - 800-507-3800
2015 Certificate of Coverage - BASIC |
2015 Certificate of Coverage - ENHANCED |
2015 Benefit Sheet |
Contact Lens Fitting Benefit |
Discount Explanation |
Kansas Refractive Surgeons |
Routine Eye Exam Information |
Contact Lens By Mail
You are offered two vision plans through Superior Vision Services* - the Basic Plan and the Enhanced Plan.
You may choose to enroll yourself and any eligible dependents in one of the vision plans, whether or not you or your dependents are enrolled in the medical coverage. If you choose dependent vision coverage, and have dependents enrolled in medical coverage, the dependent children enrolled in the vision plan must match those enrolled in medical coverage. Please note that you can enroll or change your coverage only when you or a dependent first becomes eligible, during the annual open enrollment period, or if a dependent becomes ineligible. Mid-year changes to your vision coverage elections are not allowed, even if you pay your premiums on an after-tax basis.
Basic Vision Plan Coverage
Exams under the Basic plan are subject to a $50 copay. A $25 material copay to lenses also applies to frame purchases but not contacts, then the policy covers:
- 100% on single-vision, standard bifocal, trifocal, or lenticular lenses.
- Up to $100 retail allowance for frames
- Elective contact lens allowance of up to $150
- Home delivery of contacts at www.svcontacts.com
- Contact lens fitting benefit (with a $35 copay)
Enhanced Vision Plan Coverage
The Enhanced vision plan includes all Basic plan coverage, along with:
- Standard progressive lenses covered up to $165
- High-index lenses or poly-carbonate lenses covered up to $116
- Scratch and UV coating
- Contact lens fitting fee (subject to a $35 copay with limited coverage)
- Frame allowance on Enhanced plan is now $150 retail allowance
Note: Enhanced benefits are not available from non network providers.
Special Features From Superior Vision Services
Discounts are available for lens add-ons or upgrades not otherwise covered by the plan. The discount is 20 percent and is available from providers identified in the Superior Vision provider directory with a “DP.”
Discounts on additional eyewear. Discounts are available for additional eyewear purchases. The discounts range from 10 percent to 30 percent and are available at providers identified in the provider directory with a “DP.”
Discounts on refractive surgeries such as LASIK, RK and PR K. Providers listed in the provider directory with the “RF” designation will provide Superior Vision members with a discount of 20 percent on refractive surgeries.
*The Superior Vision Plan is underwritten by National Guardian Life Insurance Company. National Guardian Life Insurance Company is not affiliated with The Guardian Life Insurance Company of America, aka The Guardian or Guardian Life.