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 
Retiree$4.80
Retiree + Spouse
$14.51
Retiree + Child(ren)
$15.04
Family
$20.18


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