Vision

Vision: Unum (Powered by EyeMed)

Basic Vision coverage is available at no cost for all City employees that elect City medical benefits. Buy-Up Vision coverage is available at an additional cost.

Unum Customer Service: 1-855-652-8686

To print a temporary card, locate an in-network provider, and access EyeMed’s online tools: www.eyemedvisioncare.com/unum

EyeMed Vision Plan Overview Video

Vision Plan Comparison

Coverage Type BASE PLAN
(1 per 24 months)		 BUY- UP PLAN
(1 per 12 months)
In-Network Out-of-Network In-Network Out-of-Network
Exams $0 co-pay Up to $40 $0 co-pay Up to $40
Retinal Imaging Benefit $39 Not Covered $39 Not Covered
Standard Plastic Lenses
Single Vision $10 co-pay Up to $30 Covered Up to $30
Bifocal $10 co-pay Up to $50 Covered Up to $50
Trifocal $10 co-pay Up to $70 Covered Up to $70
Lenticular $10 co-pay Up to $70 Covered Up to $70
Standard Progressive $75 co-pay Up to $50 $65 co-pay Up to $50
Premium Progressive Lens
Tier 1 $95 co-pay Up to $50 $85 co-pay Up to $50
Tier 2 $105 co-pay Up to $50 $95 co-pay Up to $50
Tier 3 $120 co-pay Up to $50 $110 co-pay Up to $50
Tier 4 $75 co-pay,
80% of charge
less $120 allowance		 Up to $50 $65 co-pay,
80% of charge
less $120 allowance		 Up to $50
Lens Options
Polycarbonate lenses (under age 19)		 Covered Up to $32 Covered Up to $32
Frames
Members may select any frame available		 $100 allowance Up to $70 $200 allowance Up to $140
Contact Lenses
In lieu of eyeglass lenses		 $0 Co-pay $0 Co-pay
Elective $100 allowance Up to $100 $200 allowance Up to $200
Medically Covered Up to $210 Covered Up to $210
Standard contact lens fitting exam fee $40 Not covered $40 Not Covered
Must be enrolled in Highmark medical plan for Vision plan eligibility
Base Vision
Plan Overview
Buy-Up Vision
Plan Overview
Get Started
with eyeMed
Vision Claims
Submission Form

Vision: Additional Documents

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