Vision Care Program Vision Discounts Voluntary Vision Benefits LASIK Discounts
Vision Care Program by EyeMed Easy to use Simply visit the participating provider closest to you and present your Vision Care ID card which verifies eligibility. Discounted prices are automatically calculated. No claims to file No waiting for reimbursement Use the program as often as you like Save on Eye Exams & Contacts Eye Examinations* Routine exam Contact lenses exam $ 5 savings $10 savings Contact Lenses (2 ways to save) 1. Visit one of thousands of nationwide locations and save 15% off nondisposable contacts. 2. Use the Contact Lens replacement program for additional savings and convenience. Details are available at www.eyemedcontacts.com or call 800.508.1399. Tips to remember Be sure to call the optometrist in advance to make an appointment and verify participation. Employee Savings For location information please call the HSA California Customer Service Center at 866.251.4718 or go to www.hsacalifornia.com. * Provided by Licensed Independent Doctors of Optometry
Save with Vision Care Frames 40% off any frame available at provider locations. Lenses Employee Cost Single vision $ 50 Bifocal $ 70 Trifocal $ 105 Lens Options Standard - progressive $ 65 (no line bifocals) Polycarbonate $ 40 Scratch resistant coating $ 15 Ultraviolet coating $ 15 Solid or gradient tint $ 15 Anti-reflective coating $ 45 Other add-ons and services 20% Discount Participating providers are independent contractors solely responsible for vision examinations and products. Pearle Vision, Inc. does not employ Doctors of Optometry and does not provide eye exams in California. Pearle VisionCare, Inc., a licensed vision healthcare service plan, provides eye exams in California. Discounts cannot be used with other discounts, promotions or prior orders.
Voluntary Vision Plan by EyeMed Convenient Vision Care When you enroll in the comprehensive Voluntary Vision Plan, you have a choice of retail optical locations and independent providers making it convenient for you and your family to receive vision care. Regardless of where you live, you re virtually assured of nearby access to a selection of licensed optometrists. How The Plan Works After you enroll, you ll receive a brochure and ID card detailing your benefits. When using your benefits, simply go to a participating provider and present your Vision Care ID card to receive services and eyewear. If you visit an in-network provider, there is: No claim to file No waiting for reimbursement Please note: You may use your vision benefits once every 12 months. Once you have exhausted your benefits, you will still receive discounts listed in this brochure. Tips to remember Be sure to call the optometrist in advance to make an appointment and verify participation. For location information please call the HSA California Customer Service Center at 866.251.4718 or go to www.hsacalifornia.com.
Voluntary Benefits & Costs Eye Exam Routine exam $ 10 up to $ 20 Frames (Choice of any available frame) Up to $100 $ 0* up to $ 30 * Plus 20% off balance over $100 Lenses (Standard uncoated plastic) Single vision $ 10 up to $ 20 Bifocal $ 10 up to $ 30 Trifocal $ 10 up to $ 40 Standard progressive $ 75 up to $ 30 Lens Options (Add to lens prices above) Anti-reflective coating $ 45 Not Covered Polycarbonate $ 40 Not Covered Scratch resistant coating $ 15 Not Covered Ultraviolet coating $ 15 Not Covered Solid or gradient tint $ 15 Not Covered Other add-ons 20% Not Covered & Services Discount Contacts (One purchase per 12 months - in lieu of lenses and frames up to $100 retail value) Daily & extended wear $ 10 $ 50 Disposable $ 10 $ 50 Contact Lens Fitting Your In-Network Cost Your Out-of-Network Reimbursements Standard 100% $ 40 Premium 90% $ 40 of charge (less $40 allowance) Participating retailers include: LensCrafters, Sears Optical, Pearle Vision, Target Optical and many Independent Providers.
LASIK Surgery Discounts Why LASIK? With LASIK vision correction, millions of Americans have significantly reduced or eliminated their need for glasses or contact lenses. LASIK is an outpatient procedure that is virtually painless and provides near immediate results. Your LASIK Discounts Both the Vision Care Program and Voluntary Vision Plan, through HSA California, make it possible for you to choose from a national network of qualified LASIK surgeons. Your HSA California membership provides you with: 15% off retail pricing 5% off promotional pricing Laser Vision Correction All Vision Care members are eligible for savings on both LASIK and PRK procedures and have access to over 450 Laser providers through the US Laser Network. For more information, call 877.552.7376.
Savings & Convenience Save up to 40% on all your vision needs All Vision Care members are eligible for savings on their vision care needs. Members save up to 40% on: Eye exams Frames Lenses Contacts More savings If you chose to visit a doctor who does not participate in the Vision Care program, you can bring your prescription to any participating Vision Care location and have it filled at a discounted price. Thousands of locations nationwide In addition to the largest network of independent optometrists and ophthalmologists, you ll find providers conveniently located in retail optical centers like Sears, Target, JCPenney and participating Pearle Vision locations. Evening and weekend hours are available at many locations.
866.251.4718 www.hsacalifornia.com HC0280.11.11