Vision Benefits
Benefits at a Glance
Troup County Government employees vision provider is Spectera Vision Care.
Receiving your vision benefit is as easy as visiting your Spectera Vision Providers. To locate providers, call 1-800-638-3120 or use the Spectra Vision Provider Locater at https://ww2.spectera.com or Click Here for a provider list within 50 miles of LaGrange.
| Semi-Monthly Pre-tax Deduction: | |
|---|---|
| Employee Only - $3.76 |
Employee + Family - $9.88
|
| Plan Highlights | |
|---|---|
| 12 Month Exam |
$10 Copay- Exam
|
| 12 Month Lenses |
$25 Copay- Materials
|
| 24 Month Frames |
$25 Copay- Materials
|
A list of services for Spectera are detailed below:
|
Benefit |
In-Network After Co-Pay* |
Out-of Network** |
|
|
|
|
|
Eye Exam
|
100% |
up to $40.00 |
|
Spectaucle Lenses
|
100% |
up to $40.00 |
|
Bifocals
|
100% |
up to $60.00 |
|
Trifocals
|
100%
|
up to $80.00
|
|
Lenticular
|
100% |
up to $45.00 |
|
Frames
|
100%*** |
up to $45.00 |
|
Elective Contact Lenses****
|
|
up to $60.00 |
|
Covered-in-full contacts
|
100% |
up to $105.00 |
|
All other elective contacts
|
up to $105.00 |
up to $105.00 |
|
Necessary Contact Lenses*****
|
100% |
up to $210.00 |
- Network Benefits - Exam and materials copays and patient options are paid to the network provider by the plan participant.
-
Out-of-Network Benefits - The plan participant pays full fee to the provider and Spectera reimburses the participant for services rendered up to a maximum allowance. There are no copays or deductibles.
- Frame Benefit-Over 60% of all frames on the market today are covered-in-full by Spectera's frame benefit (after applicable copay.) With Spectera's frame benefit, all frames with a $50 wholesale cost or less are covered-in-full at private practice providers. For any frame with a wholesale cost greater than $50 at private practice providers, the participant only pays the difference between the wholesale cost of the frame and the $50 allowance. Plan participants receive a minimum $120 frame allowance for frames purchased at retail chain providers.
-
Contact lenses are provided in lieu of spectacle lenses and frames. Spectera's contact lens benefit covers in-full (after applicable copay) the fitting/evaluation fees, contacts (disposable contacts/up to 4 boxes, depending on prescription), and up to 2 follow up visits. A $105 allowance is applied toward the fitting/evaluation fees and purchase of contsct lenses outside of Spectera's covered-in-full contacts (materials copay does not apply). Toric, gas permeable, and bifocal contacts are all examples of contacts that are outside of our covered-in-full selection.
- Necessary contact lenses are determined at the provider's discretion for one or more of the following conditions: Following cataract surgery; To correct extreme vision problems that cannot be corrected with spectacle lenses; With certain conditions of anisometropia; With certian conditions of keratoconus.