March> Be a Wise Healthcare Consumer

Be a Wise Healthcare Consumer

National Focus on Vision Screening and Eye Health.

March is national ‘Save Your Vision’ and ‘Workplace Eye Wellness’ month. One way of protecting your vision now and into the future is to have an annual comprehensive eye exam by an ophthalmologist or optometrist. Of the 124,000 UT employees, retirees and dependents currently enrolled in the UT vision benefits plan, over 41,000 members had a comprehensive eye exam during the most recent plan year1.

When should you get a vision screening?
At certain points in your life, everyone should have their eyes examined by an eye care professional. The American Optometric Association (AOA) recommends regular eye examples according to the following schedule:

If you notice any signs of potential eye problems, you should immediately schedule an appointment with a vision specialist for a complete eye exam. Those individuals with added risk factors for vision problems should speak to their eye care specialist about scheduling eye exams more frequently. These risk factors include:

Rick factors for school-aged children:

Risk factors of adults:

Accessing your UT vision benefits through Superior Vision
With your vision care benefits through Superior Vision Services, your benefits include coverage for a comprehensive eye exam, standard lenses and frames, as well as contact lenses and the standard fitting services. The chart below outlines benefits available to enrollees in the Superior Vision plan:

Covered Services2

Network Benefits

Out-of-Network Benefits

Comprehensive eye exam by an ophthalmologist or optometrist

Covered in full after $35 Copay (does not include the contact lens exam or fitting fees) See below for information about benefit for Contact Lens Fitting Fees.

Up to $42 (ophthalmologist)
Up to $37 (optometrist)

Standard lenses (per pair) - plastic (CR39), clear, uncoated

Covered in full

Up to $32 (single vision)
Up to $46 (bifocal)
Up to $61 (trifocal)
Up to $84 (lenticular)

Frames

Covered in full up to $140 retail allowance

Up to $53

Contact lenses3

Up to $125 retail allowance (elective/cosmetic)
Covered in full (non-elective/medically necessary). See additional explanation below.

Up to $100 (elective/cosmetic)
Up to $210 (non-elective/medically necessary)

Standard Contact Lens Fitting4

Covered in full after a $35 Copay (separate from comprehensive eye exam copay)

No out-of-network benefit

Specialty Contact Lens Fitting4

Covered in full after a $35 Copay up to an allowance of $50 (separate from comprehensive
eye exam copay)

No out-of-network benefit

1The UT SELECT Medical Plan does not cover medical expenses for services or supplies provided for the correction of vision deficiencies, including, but not limited to, orthoptics, vision training, vision therapy, radial keratotomy, eye refractions, photo reflective keratotomy, LASIK, contact lenses, eyeglasses or the fitting of contact lenses. Eyeglasses and lenses are covered under the UT SELECT Medical Plan if the patient has a history of having had cataract surgery. Hard contact lenses are covered for the non-surgical correction of a corneal defect such as keratoconus. Soft contact lenses are covered for a diagnosis of aphakia.

2Only one comprehensive exam is covered per plan year. Only one pair of eyeglass lenses and one set of frames or one contact lens allowance is covered per plan year.

3Contact lenses in lieu of eyeglass lenses and one set of frames

4Standard contact lens fitting fee applies to a current contact lens user who wears disposable, daily wear, or extended wear lenses only. The specialty contact lens fitting fee applies to new contact lens wearers and/or a member who wears toric, gas permeable, or multifocal lenses. For the specialty fit, the member is responsible for any charges over $50 after the copayment is paid.

You can be a wise healthcare consumer by taking full advantage of the resources and tools available through the administrators of your various UT Benefits plans. Superior Vision has a number of articles and tools available on their website that include valuable information about how to protect your vision and to help you understand the true value of regular eye exams for yourself and your family. Visit Superior Vision’s “Vision Care Learning Center” to explore and learn more.

Follow Superior Vision on Facebook www.facebook.com/SuperiorVisionServices

Content adapted from the following: