Your 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 of 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 HumanaVision 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 Vision Care Plan regardless of whether or not they are enrolled in the medical plan.
- Retired clergy and their eligible dependents who are enrolled at the time of the clergy's retirement may continue to participate in the Vision Care Plan. Once retired clergy or their enrolled dependents terminate coverage in the Vision Care Plan, they are not eligible to re-enroll at a future date.
How the vision plan works
- HumanaVision's Vision Care Plan gives you access to more than 24,000 participating optometrists and ophthalmologists nationwide. You can find a participating provider at humanavisioncare.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 a list of covered services.
This table provides the highlights of your vision plan coverage:
|Participating provider||Nonparticipating provider|
|Plan pays 100% after you pay:|
|Exam with dilation (as necessary)||$10 co-pay||$35 co-pay|
|Single||$20 co-pay||$25 co-pay|
|Bifocal||$20 co-pay||$40 co-pay|
|Trifocal||$20 co-pay||$60 co-pay|
|You may receive additional fixed co-pays on anti-reflective, scratch-resistant and standard polycarbonate coatings.|
|Frames (also see below)||$45 wholesale allowance||$45 allowance|
|Elective||$105 allowance||$105 allowance|
|Medically necessary||Plan pays 100%||$210 allowance|
|Frequency options(based on 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 vision plan details|
How does the wholesale frame allowance work?
If the wholesale price exceeds the allowance, you pay twice the difference. You never pay full retail.
|Retail price||Wholesale price||Wholesale allowance||You pay||You save|
($75 – $45) x 2 = $60
|Retail costs and actual savings may vary.|
What services are not covered?
Some services not covered under your Vision Care Plan include:
- Medical or surgical treatment of eyes
- Orthoptics or vision training, subnormal vision aids or Plano (non-prescription) lenses
- Replacement of lost or broken lenses, except at the regularly-scheduled plan intervals
Want to know more?
- Read the details about the vision plan
- See detailed lens pricing
- Visit the Humana Vision website
- If you have questions...