2022 vision plans: Designed to help you achieve better health - UnitedHealthcare vision plans give you simple choices, keep costs in check, and ...
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2022 vision plans:
Designed to help
you achieve better
health
UnitedHealthcare vision plans give you simple
choices, keep costs in check, and take a
comprehensive view of eye care.
UnitedHealthcare FEDVIP
Your choices are clear — and plentiful Choose your care experience: Choose your shopping experience: As a UnitedHealthcare FEDVIP Vision member, you Whether you like the assurance of testing frames in can take advantage of our diverse and accessible person or prefer trendy frame offerings found online, network of more than 122,000 providers — from you’re covered. Shop at Warby Parker, LensCrafters, local practices to major retailers. Costco, GlassesUSA, Walmart and more.
Take a comprehensive view of eye care
Each year, you’ll get a complete and thorough eye exam to check your vision
and evaluate your eye health. It may also help identify health issues such as
diabetes, high cholesterol, hypertension and more.
You also get a suite of quality offerings at no additional cost:
A second annual eye exam and additional pair of glasses* for expectant
mothers and children up to 13
Wellness resources like online events and educational information
Exclusive discounts on health and wellness offerings from our online
BenefitHub
BONUS: Member discounts on state-of-the-art hearing aids
* With a diopter change of 0.5 or moreSee the savings
Glasses Contact lenses
Every year after applicable copay Every year (instead of glasses)
Lenses Elective contact lenses
•Standard single vision •$125 allowance
•Lined trifocal •Allowance is applied toward the
•Standard lenticular lenses purchase of contact lenses
•Copay does not apply
Frames
Elective contact lens fitting/evaluation
$200 frame allowance
•$40 allowance
Lens enhancements •Allowance is applied toward the
contact lens fitting/evaluation fees
•Progressive lenses
•Copay does not apply
•High-index plastic (up to 1.73)
•Tinted lenses
•Polycarbonate lenses
•Tier 1 anti-reflective coating
•Standard scratch-resistant coating
•UV coating
All plans also include:
•At least 20% off many lens enhancements
•10% off contacts at uhccontacts.com
•Discounts on products to protect your eyes from blue light
•Up to 35% off laser vision correctionWhat’s the cost?
Standard option High option
Premiums for plans Bi-weekly Monthly Bi-weekly Monthly
Self only $3.40 $7.37 $5.06 $10.96
Self + 1 $6.62 $14.34 $9.88 $21.41
Self + family $9.86 $21.36 $14.70 $31.85
Standard option High option
Vision plans Copay Copay
Annual eye exam $10 $0
Eye glasses $25 $10
Standard scratch-resistant coating $0 $0
Polycarbonate lenses $0 $0
Transitions™ lenses $0 $0
Tier 1 anti-reflective coating Up to $30 $0
Tinted lenses $0 $0
UV coating $0 $0
Tier 1 progressive $25 $0
High-end (Tier 2–4) progressive Up to $250 $65
High-index plastic up to 1.73 Up to $69 Up to $69
This is intended as a summary only. For a detailed description of your benefits,
exclusions and limitations, please refer to the Certificate of Coverage at uhcfeds.com.
Click the Vision Plans button to learn more.When and how to enroll? Sign up during Federal Benefits Open Season, or if you are a new hire, you have 60 days from your start date to enroll. Visit BENEFEDS.com or call 1-877-888-3337 (TTY: 1-877-889-5680) Who is eligible? •Anyone who’s eligible for the Federal Employees Health Benefits (FEHB) program — no matter what medical plan they choose* •TRICARE retirees and active military family members enrolled in a specified TRICARE health plan* Learn more at uhcfeds.com/look
Serving you well, then and now
Federal employees have been counting on UnitedHealthcare since 2007 to provide
easy, convenient and affordable access to vision care.
Our vision plans are designed around your eye care needs — and your lifestyle.
Before you make your choice of contacts, tinted lenses, bifocals or blue light
blockers, choose a FEDVIP Vision plan.
Recognized as the sixth most
Military Friendly® Employer in the nation.The fine print.
We do not treat members differently because of sex, ATENÇÃO: Se você fala português (Portuguese), contate o serviço
de assistência de idiomas gratuito. Ligue gratuitamente para o número
age, race, color, disability or national origin. encontrado no seu cartão de identifcação.ACHTUNG: Falls Sie Deutsch
If you think you weren’t treated fairly because of your sex, age, race, color, disability or
national origin, you can send a complaint to the Civil Rights Coordinator: (German) sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen
zur Verfügung. Bitte rufen Sie die gebührenfreie Rufnummer auf der Rückseite
Mail: UnitedHealthcare Civil Rights Grievance Ihres Mitgliedsausweises an.
P.O. Box 30608, Salt Lake City, UT 84130
Online: UHC_Civil_Rights@uhc.com . خدمات امداد زبانی به طور رایگان در اختیار شما می باشد،( استFarsi) اگر زبان شما فارسی:توجه
.لطفا با شماره تلفن رایگانی که روی کارت شناسایی شما قید شده تماس بگیرید
You must send the complaint within 60 days of when you found out about it. A
decision will be sent to you within 30 days. If you disagree with the decision, you have ध्यान दें: यदि आप हिंदी (Hindi) बोलते है, आपको भाषा सहायता सेबाएं,
15 days to ask us to look at it again. If you need help with your complaint, please call the नि:शुल्क उपलब्ध हैं। कृपया अपने पहचान पत्र पर सूचीबद्ध टोल-फ्री फोन
toll-free member phone number listed on your ID card. You can also file a complaint नंबर पर कॉल करें।
with the U.S. Dept. of Health and Human Services: DÍÍ BAA’ÁKONÍNÍZIN: Diné (Navajo) bizaad bee yániłti’go, saad bee
Online: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf áka’anída’awo’ígíí, t’áá jíík’eh, bee ná’ahóót’i’. T’áá shǫǫdí ninaaltsoos nitł’izí
Complaint forms are available at: bee nééhozinígíí bine’dęę’
́ ́ t’áá jíík’ehgo béésh bee hane’í biká’ígíí bee hodíilnih.
http://www.hhs.gov/ocr/office/file/index.html. Insurance coverage provided by or through UnitedHealthcare Insurance
Phone: Toll-free 1-800-368-1019, 1-800-537-7697 (TDD) Company or its affiliates.
Mail: U.S. Dept. of Health and Human Services, The UnitedHealthcare plan with Health Savings Account (HSA) is a high
200 Independence Avenue, SW Room 509F, HHH Building deductible health plan (HDHP) that is designed to comply with IRS requirements
Washington, D.C. 20201 so eligible enrollees may open a Health Savings Account (HSA) through Optum
We provide free services to help you communicate with us such as letters in others Bank, Member of FDIC. The HSA refers only and specifically to the Health
languages or large print. You can also ask for an interpreter. To ask for help, please call Savings Account that is provided in conjunction with a particular bank, such as
the toll-free member phone number listed on your health plan ID card. Optum Bank, and not to the associated HDHP.
________________________________________________________ Member phone number services should not be used for emergency or urgent
care needs. In an emergency, call 911 or go to the nearest emergency room.
ATENCIÓN: Si habla español (Spanish), hay servicios de asistencia de The information provided through the member phone number service is for
idiomas, sin cargo, a su disposición. Llame al número de teléfono gratuito que informational purposes only and provided as part of your health plan. Wellness
aparece en su tarjeta de identifcación. nurses, coaches and other representatives cannot diagnose problems or
請注意：如果您說中文 (Chinese)，我們免費為您提供語言協助服務。請撥 recommend treatment and are not a substitute for your doctor’s care. Your
打會員卡所列的免付費會員電話號碼。 health information is kept confidential in accordance with the law. Member
phone number services are not an insurance program and may be discontinued
XIN LƯU Ý: Nếu quý vị nói tiếng Việt (Vietnamese), quý vị sẽ được cung cấp dịch at any time.
vụ trợ giúp về ngôn ngữ miễn phí. Vui lòng gọi số điện thoại miễn phí ở mặt sau
thẻ hội viên của quý vị. The health care reform law requires the coverage of certain preventive services,
based on your age, gender and other health factors, with no cost-sharing. The
알림: 한국어(Korean)를 사용하시는 경우 언어 지원 서비스를 무료로 preventive care services covered are those preventive services specified in the
이용하실 수 있습니다. 귀하의 신분증 카드에 기재된 무료 회원 health care reform law. UnitedHealthcare also covers other routine services,
전화번호로 문의하십시오. which may require a copayment, coinsurance or deductible. Always refer to your
PAALALA: Kung nagsasalita ka ng Tagalog (Tagalog), may makukuha kang plan documents for your specific coverage.
mga libreng serbisyo ng tulong sa wika. Pakitawagan ang toll-free na numero Virtual Visits phone and video chat with a doctor are not an insurance product,
ng telepono na nasa iyong identifcation card. health care provider or a health plan. Unless otherwise required, benefits are
ВНИМАНИЕ: бесплатные услуги перевода доступны для людей, чей available only when services are delivered through a Designated Virtual Network
родной язык является русский (Russian). Позвоните по бесплатному номеру Provider. Virtual Visits are not intended to address emergency or life-threatening
телефона, указанному на вашей идентификационной карте. medical conditions and should not be used in those circumstances. Services
may not be available at all times, or in all locations, or for all members. Check
هيبنت: ( ةيبرعلا ثدحتت تنك اذإArabic)، ةيناجملا ةيوغللا ةدعاسملا تامدخ نإف your benefit plan to determine if these services are available.
كل ةحاتم. فيرعتلا ةقاطب ىلع جردملا يناجملا فتاهلا مقرب لاصتالا ىجرُي Real Appeal is a voluntary weight loss program that is offered to eligible
كب ةصاخلا. participants as part of their benefit plan. The information provided under this
ATANSYON: Si w pale Kreyòl ayisyen (Haitian Creole), ou kapab benefsye program is for general informational purposes only and is not intended to be nor
sèvis ki gratis pou ede w nan lang pa w. Tanpri rele nimewo gratis ki sou kat should be construed as medical and/or nutritional advice. Participants should
idantifkasyon w. consult an appropriate health care professional to determine what may be right
for them. Any items/tools that are provided may be taxable and participants
ATTENTION : Si vous parlez français (French), des services d’aide linguistique should consult an appropriate tax professional to determine any tax obligations
vous sont proposés gratuitement. Veuillez appeler le numéro de téléphone they may have from receiving items/tools under the program.
gratuit fgurant sur votre carte d’identifcation.
The UnitedHealthcare® app is available for download for iPhone® or Android®.
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tłumacza. Prosimy zadzwonić pod bezpłatny numer telefonu podany na karcie of Google LLC.
identyfkacyjnej.
All trademarks are the property of their respective owners.
*Full eligibility details are available on BENEFEDS.com
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evellor aris ium etur, apediam dolum hilias sundante dolecte naturia ecatemo luptaqu unducit aspisin ihiligendae omnis elit, sitatiis.
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