Contact Lens Benefits
Contact Lenses, Elective/Cosmetic
Elective/Cosmetic contact lenses refer to contact lenses members choose to wear instead of eyeglasses for reasons of comfort or appearance. Contact lenses covered by the Plan must contain a prescription for correcting a vision deficiency.
Contact Lenses, Medically Necessary
Medically Necessary contact lenses are provided only under certain medical conditions. These medical conditions prevent the member from achieving a specified level of visual acuity (performance) through the wearing of conventional eyeglasses. These contact lenses must be specifically prescribed by the eye doctor to be used for the reason or reasons described below. Reimbursement
by Superior Vision for these lenses will be considered as payment-in-full when utilizing an in-network provider.
- Aphakia (after cataract surgery without implant lenses)
A pair of prescription single vision or multifocal eyeglass lenses and an eyeframe can be provided along with contact lenses prescribed for this reason. - Psuedo-Aphakia (after cataract surgery with implant lenses)
- When visual acuity cannot be corrected to 20/70 in the better eye except through the use of contact lenses (must be 20/60 or better).
- Anisometropia of 4.0 diopters or more, provided visual acuity (performance) improves to 20/60 or better in the weak eye
- Keratoconus
Note: The narrowing of visual fields due to high minus or plus corrections is
not considered a reason for medically necessary contact lenses. All requests for
medically necessary contact lenses must be reviewed and approved by the Superior
Vision Medical Advisory Board.
The Contact Lens Prescription
The contact lens prescription includes specifications of optical and physical characteristics (such as power, size, curvature, flexibility, gas permeability, etc.). The contact lens prescription is not a part of the covered comprehensive eye examination procedure.
The Contact Lens Exam/Fitting Fee
Most providers charge a fee for the fitting of contact lenses. This fee, which may also be referred to as the contact lens exam, is separate from the fee for the comprehensive eye examination. The cost will vary depending on the provider's fee structure policies. The cost may also vary due to circumstances or complexities involving the physiological condition of the eyes and cornea, the lens prescription, and the type of lenses used.
The Contact Lens Exam/Fitting Fee may or may not be covered under your vision
plan.
The Contact Lens Benefit Allowance
The contact lens allowance can be used for costs involved in the fitting and/or the supply of contact lenses. This includes the fitting fee (sometimes referred to as the contact lens exam) and the materials (lenses). It is at the discretion of the member as to which charges are applied to the plan allowance and which, if any, are paid for out-of-pocket.
Members can use Superior Vision Benefits to Order Discounted Contact Lenses Online!
Contact lenses can be delivered direct to your door.
Now, members can use their benefits to order contact lenses online at special low prices. We stock all major brands and types of contact lenses including Acuvue, Focus, Freshlook, Durasoft, Preference, and more.
Every lens is shipped in safe, sealed containers and is guaranteed to be the exact lens prescribed by the doctor, only without the retail prices.
This service is offered exclusively to Superior Vision members, as a value-added in-network service, in conjunction with Arlington Lens Supply, a participating provider in the Superior Vision Plan.
For additional information and ordering Information, please visit www.SVContacts.com.
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