Vision Plan Overview

Flexible Plan Designs

The Superior Vision Plan provides a number of options to satisfy the needs of the payor and the plan member. Plan designs are flexible to meet the needs of our clients.

Plan Eligibility

The minimum number of covered employees for employer paid plans is 10. For voluntary plans we require a minimum of 10 enrolled employees.

Coverage Overview

Superior Vision Plan benefits provide for fully covered eye examinations plus eyeglasses and contact lenses.

Lens Benefits

Covered eyeglass lenses are standard glass or plastic (CR39) in clear or rose tint #1 or #2. Frames are available at five different levels of retail value. Contact lenses are available through allowances of $100, $120, $150, or $200 per benefit period.

Frame Benefits

The following are the categories of frame values that are offered. Members can select any frame in the providers inventory up to the retail allowance without out-of-pocket expense. For frames priced higher than the allowance, the member pays the difference in price directly to the provider.

Plan Name Frame Benefit
Platinum Elite Plan $175
Platinum Plus Plan $150
Gold Plus Plan $125
Gold Plan $100
Silver Plan $75

Frequencies of Benefits

The Superior Vision Plan offers insured benefits under a variety of schedules. These are Select, Preferred and Premium. The key difference in these schedules is the interval when services are available. The following outlines the timetable for benefits under each schedule. Other variations of frequencies are available.

Benefit Select Preferred Premium
Eye Examination 24 12 12
Lenses (eyeglass) 24 12 12
Frame 24 24 12
Contact Lenses 24 12 12

Special Note: Plans can be written as "materials only", excluding the eye exam, or "Exam Only", excluding the materials.

In-Network and Non-Network Services

Benefits are available from both in-network and non-network providers. The reimbursement levels for non-network benefits will vary by state.