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Your Humana Vision Benefits

Taking care of our eyes is a no-brainer—we smile with them, talk with them, and see into people's hearts with them. But did you know that regular eye exams can lead not only to early detection of vision problems, but also to other diseases such as diabetes, high blood pressure, osteoporosis, and rheumatoid arthritis? That's why The Texas Annual Conference of the United Methodist Church (TAC) has contracted with Humana Vision to offer you a comprehensive Vision Care Plan. Enrollment is optional and the clergy or lay employee pays the entire cost of coverage (no employer contribution).

Who is eligible?

  • Active clergy and TAC Fiscal Office lay employee participants in the Group Health medical plan and their eligible dependents.  Eligible dependents of active employees may participate in the Humana Vision regardless of whether or not they are enrolled in the medical plan.

  • Under 65 retired clergy and their eligible dependents who are enrolled at the time of the clergy's retirement may continue to participate in the dental PPO plan.

  • Under 65 spouses or surviving spouses of retired Medicare primary clergy and their eligible dependents who are enrolled at the time of the clergy's retirement may continue to participate in the dental PPO plan.

How the Humana Vision plan works

  • Humana Vision's Plan gives you access to more than 24,000 participating optometrists and ophthalmologists nationwide. You can find a participating provider at humanavision.com or by calling 1-866-537-0229.

  • You receive the same benefits at all participating providers, including wholesale pricing on frames!

  • You pay any required co-pay at the time of service. See the Humana Vision Schedule of Benefits for more information.

 

In-network provider

Out-of-network provider
   Plan pays 100% after you pay:
Exam with dilation (as necessary)Retinal imaging $10 copay Up to $39 Up to $30 copay Not covered

Standard plastic lenses

  
Single $15 copay Up to $25 copay
Bifocal $15 copay Up to $40 copay
Trifocal $15 copay Up to $60 copay
Lenticular $15 copay Up to $100 copay
  You may receive additional fixed co-pays on anti-reflective, scratch-resistant, and standard polycarbonate coatings.
Frames $130 allowance, 20% off balance over $130 $65 allowance

Contact lenses

  
Conventional $130 allowance, 15% off balance over $130 $104 allowance
Disposable $130 allowance $104 allowance
Medically necessary Plan pays 100% $200 allowance
Frequency options (based on the date of service)  
Examination Once every 12 months Once every 12 months
Lenses or contacts Once every 12 months Once every 12 months
Frames Once every 24 months Once every 24 months
LASIK and PRK procedures See the Humana Vision Schedule of Benefits

What services are not covered?

Some services not covered under your Humana Vision plan include:

  • Medical or surgical treatment of eyes

  • Orthoptic or vision training, subnormal vision aids or Plano (non-prescription) lenses

  • Replacement of lost or broken lenses, except at the regularly scheduled plan intervals