Vision - Compare Options
Vision - Compare Options
This Vision Plan Comparison Chart includes the coverage levels for commonly used services. This comparison chart does not reflect all vision plan services, exclusions, limitations, or restrictions. It is not considered a contract or guarantee of coverage under the Plans. Refer to the Summary Plan Document located at www.oraclebenefits.com for more details on Plan provisions and limitations.
Vision Plan I
Vision Plan II
Network:
Annual $10 co-payment applicable to exam, frame, or lenses
Non-Network:
Annual $10 co-payment applicable to exam, frame, or lenses
Annual $10 co-payment applicable to exam, frame, or lenses
Non-Network:
Annual $10 co-payment applicable to exam, frame, or lenses
Network:
Annual $10 co-payment applicable to exam, frame, or lenses. Additional $10 co-payment collected for 2nd Pair Benefit
Non-Network:
Annual $10 co-payment applicable to exam, frame, or lenses. Additional $10 co-payment collected for 2nd Pair Benefit
Annual $10 co-payment applicable to exam, frame, or lenses. Additional $10 co-payment collected for 2nd Pair Benefit
Non-Network:
Annual $10 co-payment applicable to exam, frame, or lenses. Additional $10 co-payment collected for 2nd Pair Benefit
Network:
Not Covered
Non-Network:
All allowances are provided once every calendar year
Not Covered
Non-Network:
All allowances are provided once every calendar year
Network:
Not Covered
Non-Network:
All allowances (except the exam allowance which is provided once every calendar year) are provided twice every calendar year
Not Covered
Non-Network:
All allowances (except the exam allowance which is provided once every calendar year) are provided twice every calendar year
Network:
100% (after annual co-payment)
Non-Network:
Up to $50 after $10 Annual co-payment. Co-payment applies to exam, frame or lenses
100% (after annual co-payment)
Non-Network:
Up to $50 after $10 Annual co-payment. Co-payment applies to exam, frame or lenses
Network:
100% (after annual co-payment)
Non-Network:
Up to $50 after $10 Annual co-payment. Co-payment applies to exam, frame or lenses
100% (after annual co-payment)
Non-Network:
Up to $50 after $10 Annual co-payment. Co-payment applies to exam, frame or lenses
Network:
100% after $20 co-payment
Non-Network:
Not Covered
100% after $20 co-payment
Non-Network:
Not Covered
Network:
100% after $20 co-payment
Non-Network:
Not Covered
100% after $20 co-payment
Non-Network:
Not Covered
Network:
100% after $20 co-payment
Non-Network:
Not Covered
100% after $20 co-payment
Non-Network:
Not Covered
Network:
100% after $20 co-payment
Non-Network:
Not Covered
100% after $20 co-payment
Non-Network:
Not Covered
Glasses
Network:
Single vision, lined bifocal and lined trifocal lenses covered 100% each calendar year
Non-Network:
Single Lenses - $50
Bifocal Lenses - $75
Trifocal Lenses - $100
Lenticular Lenses - $125
Single vision, lined bifocal and lined trifocal lenses covered 100% each calendar year
Non-Network:
Single Lenses - $50
Bifocal Lenses - $75
Trifocal Lenses - $100
Lenticular Lenses - $125
Network:
Single vision, lined bifocal and lined trifocal lenses covered 100% each calendar year
Non-Network:
Single Lenses - $50
Bifocal Lenses - $75
Trifocal Lenses - $100
Lenticular Lenses - $125
Single vision, lined bifocal and lined trifocal lenses covered 100% each calendar year
Non-Network:
Single Lenses - $50
Bifocal Lenses - $75
Trifocal Lenses - $100
Lenticular Lenses - $125
Network:
Covered up to $150 each calendar year
Non-Network:
Covered up to $70
Covered up to $150 each calendar year
Non-Network:
Covered up to $70
Network:
Covered up to $200 each calendar year
Non-Network:
Covered up to $70
Covered up to $200 each calendar year
Non-Network:
Covered up to $70
Network:
100%
Non-Network:
Covered up to $5
100%
Non-Network:
Covered up to $5
Network:
100%
Non-Network:
Covered up to $5
100%
Non-Network:
Covered up to $5
Standard Progressive Lenses
Network:
100%
Non-Network:
Plan pays up to $75
100%
Non-Network:
Plan pays up to $75
Network:
100%
Non-Network:
Plan pays up to $75
100%
Non-Network:
Plan pays up to $75
Contact Lenses (In Lieu of Frames and Lenses)
Network:
$250 allowance
Non-Network:
$175 allowance
$250 allowance
Non-Network:
$175 allowance
Network:
$300 allowance
Non-Network:
$200 allowance
$300 allowance
Non-Network:
$200 allowance
Additional Pair and Discount Programs
Network:
Not Applicable
Members are eligible for special discounts
Non-Network:
Not Covered
Not Applicable
Members are eligible for special discounts
Non-Network:
Not Covered
Network:
Annual $10 co-payment applicable to frame or lenses, Coverage provides a second pair of frames and lenses OR contact lenses subject to the same benefits as described above.
Non-Network:
Covered up to the scheduled allowance
Annual $10 co-payment applicable to frame or lenses, Coverage provides a second pair of frames and lenses OR contact lenses subject to the same benefits as described above.
Non-Network:
Covered up to the scheduled allowance
This Vision Plan Comparison includes the coverage levels for commonly used services. This comparison chart does not reflect all vision plan services, exclusions, limitations, or restrictions. It is not considered a contract or guarantee of coverage under Plans. Refer to the Summary Plan Document located at www.oraclebenefits.com for more details on Plan provisions and limitations.