2026-2027 Benefits Guide

Lens Options (Member Cost)

EyeMed Insight Network

Out of Network

Progressive Lenses Standard

$65 + lens deductible

No benefit

Premium Tier 1

$85 + lens deductible $95 + lens deductible $110 + lens deductible

No benefit No benefit No benefit No benefit

Tier 2 Tier 3 Tier 4

$65 plus 80% of charge less $120 allowance Covered in full for dependent children Adults: $40

Std. Polycarbonate

No benefit

Tint (solid and gradient) Scratch Resistant Coating Anti-Reflective Coating Standard

$15

No benefit No benefit

Covered in full

$45

No benefit

Premium Tier 1

$57 $68

No benefit No benefit No benefit No benefit No benefit No benefit

Tier 2 Tier 3

80% of the charge

Ultraviolet Coating

$15 $75

Plastic Photochromatic/Transition

Lasik or PRK

Average discount of 15% off retail price or 5% off promotional price at US Laser Network participating providers.

For additional information regarding the various services and how often you may receive services, please refer to the Summary of Benefits located at the end of this booklet. ADDITIONAL PLAN FEATURES EyeMed In-Network Discounts When you visit an EyeMed network provider, you can receive additional savings beyond your plan allowances. Receive a 15% discount on the remaining balance above the conventional contact lens allowance and a 20% discount on the remaining balance above the frame allowance. You may also receive a 20% discount on eligible items not covered by the plan when purchased from a network provider. Discounts cannot be combined with other discounts or promotional offers. The discount on non-covered items does not apply to professional services or contact lenses. EyeMed In-Network Secondary Purchase Plan After your funded vision benefit has been used, you can continue to receive savings at EyeMed network providers. Members receive a 40% discount on an additional complete pair of glasses and a 15% discount on the retail price of conventional contact lenses. Discounts apply to materials only.

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