Retiree Vision

Senior woman wearing eyeglasses during her vacation

We are proud to offer you a vision plan through Davis Vision. This plan gives you the freedom to seek care from the provider of your choice. However, you will maximize your benefits and reduce your out-of-pocket costs if you choose a provider who participates in the Davis Vision network.

Davis Vision Rates

Coverage
Employee Cost 
Employee
$4.80
Employee + Spouse
$10.24
Employee + Child(ren)
$9.71
Family
$15.38


Davis Vision Costs (PDF)
Davis Vision Plan Summary (PDF)

Vision Plan Highlights

Benefits
 
Eye Exam Benefit
Network
Non-Network

$10 copay
Up to $40 reimbursement
Frames/Lenses  
Single Vision
Network
Non-Network

$25 copay
Up to $40 reimbursement
Bifocal Lenses
Network
Non-Network

$25 copay
Up to $60 reimbursement
Trifocal Lenses
Network
Non-Network

$25 copay
Up to $80 reimbursement
Frames/Lenses
Network
Non-Network

$150 allowance or up to $200 at VisionWorks
$45 reimbursement
Contacts (in lieu of glasses)  
Network
Medically Necessary
Elective

Covered in full
$150 allowance
Non-Network
Medically Necessary
Elective

$210 allowance
$150 reimbursement
Exam Frequency 12 months
Lens Frequency 12 months
Frames Frequency 12 months