Vision Care Plan-Humana Specialty Benefits
TheVision Care Plan offers the following benefits:
| Participating Provider | Non-participating Provider | |
| Exams w/dialation (as necessary) | 100% after $10 copay | $35 allowance |
| Lenses | 100% after $15 copay | $25-$60 allowance |
| Frames | $50 allowance | $50 retail allowance |
| Contact Lenses (elective/disposable) | $130 allowance | $130 allowance |
| Lasik and PRK procedures | see plan brochure | see plan brochure |
Humana Vision Benefit Brochure
Vision Enrollment Form
|
Catagory |
Premium |
| Employee Only |
$6.68 |
| Employee + Spouse |
$13.34 |
| Employee + Children |
$12.70 |
| Employee + Family |
$19.94 |