UnitedHealthcare Vision Plan – Benefit Summary
1. Overview
The UnitedHealthcare Vision Plan provides comprehensive vision coverage through a large national network of private practice and retail chain providers. The plan includes exams, glasses, or contact lenses, plus additional benefits for children and discounted services for laser vision correction and additional eyewear purchases.
This article summarizes your covered services, frequency limits, copays, allowances, and how to use your benefits.
2. Benefit Frequency
| Service | Frequency |
|---|
| Comprehensive Eye Exam | Once every 12 months |
| Diabetic Eye Exam | Twice every 12 months |
| Lenses (glasses) | Once every 12 months |
| Frames | Once every 12 months |
| Contact Lenses (in lieu of glasses) | Once every 12 months |
Children Ages 0–12
- Eligible for a second exam each year
- Eligible for replacement frame and lenses if prescription changes by 0.5 diopter or more
- Replacement benefits match initial exam, frame, and lens coverage
3. In‑Network Copays
- Eye Exam Copay: $10
- Materials Copay: $25
- Diabetic Retinal Screening: $0
4. Frames Benefit
You may choose any frame at an in‑network provider.
Allowance
- $200 retail allowance at both private practices and retail chains
- 30% discount on any amount over the allowance (provider participation varies)
5. Lens Benefits
Covered once every 12 months when selecting glasses.
Covered-in-Full Standard Lenses
- Single vision
- Lined bifocal
- Lined trifocal
- Lenticular lenses
Included Lens Options
- Standard scratch-resistant coating (covered in full)
- Polycarbonate lenses for dependent children up to age 19 (covered in full)
Optional Lens Upgrades (discounted)
May include:
- Anti-reflective coating
- Progressives
- Tinting
- Other enhancements
Discount availability may vary by provider and state guidelines.
- $200 allowance
- Materials copay waived
- Contact lens fitting & evaluation: $40 allowance
Covered in full (after applicable copay) when medically necessary for:
- Post‑cataract surgery without implant
- Extreme refractive error
- Specific medical conditions such as keratoconus, aphakia, or irregular astigmatism
Members should confirm coverage with their provider before purchase.
7. Out‑of‑Network Reimbursement
If you use an out‑of‑network provider, you pay the provider directly and file for reimbursement.
| Service | Reimbursement |
|---|
| Exam | Up to $40 |
| Frames | Up to $45 |
| Single Vision Lenses | Up to $40 |
| Bifocal Lenses | Up to $60 |
| Trifocal Lenses | Up to $80 |
| Lenticular | Up to $80 |
| Elective Contacts | Up to $150 |
| Necessary Contacts | Up to $210 |
| Contact Lens Fitting | Up to $0 |
8. Additional Discounts & Member Perks
Laser Vision Correction
- 15% off standard pricing
- 5% off promotional pricing
- Greater discounts available at LasikPlus centers
- 20% discount on additional pairs after benefits are used
- Not considered insurance coverage; you pay discounted provider fee
Hearing Aid Discounts
Members may receive hearing aid discounts through hi HealthInnovations.
9. How to Use Your Vision Benefits
In‑Network
- Identify yourself as a UnitedHealthcare Vision member when scheduling.
- Pay your applicable copay(s) at time of service.
- Provider handles claims and benefit verification.
Out‑of‑Network
- Pay the full cost at the time of service.
- Submit receipts within 90 days to:
UnitedHealthcare Vision – Claims Department
P.O. Box 30978
Salt Lake City, UT 84130 - Reimbursement provided up to plan allowances.
10. Customer Support
- Member Services: 800‑638‑3120
Hours:
- Mon–Fri: 8:00 AM – 11:00 PM ET
- Sat: 9:00 AM – 6:30 PM ET
- Provider Locator: myuhcvision.com
- Online Services: View benefits, print ID cards, find providers