BENEFITS AT A GLANCE
Cobb County Government offers employees vision insurance as a Supplemental, voluntary product.
The plan allows for participants to receive service from both private practice providers as well as retail providers. Employees have the freedom to choose any provider. However, if a participant chooses a non-network provider they must submit a reimbursement request to the insurance company.
2020 Summary of Benefits and Understanding your Vision Plan.
See the Vision Presentation for a video of the services, benefits and other information for Cobb County Government.
VISION CARD/PROVIDERS
Spectera / United Health Care does not send customized Vision Cards to participants, but has a Printable Vision Card that can be downloaded and use. To utilize the benefit, you only need to notify the provider you are an employee of Cobb County, provide your Social Security Number or Employee ID and let them know you have Spectera / United Health Care Vision Insurance.
Receiving your vision benefit is as easy as visiting your Spectera / United Health Care Vision Providers. To locate providers, call 1-800-839-3242 or use the Vision Provider Locater at www.myuhcvision.com
OUT OF NETWORK
Employees can receive services out of network, but will be reimbursed based on plan limits. Co pays do not apply. Kaiser Medical Members are not eligible to file out of network for the exam, due to the service being covered under the medical plan as a copay.
LASER SURGERY
United Healthcare Vision has partnered with the Laser Vision Network of America (LVNA) to provide our members with access to discounted laser vision correction providers. Members receive 15% off usual and customary pricing, 5% off promotional pricing at over 500 network provider locations and even greater discounts through set pricing at LasikPlus locations. For more information, call 1-888-563-4497 or visit www.uhclasik.com.
CERTIFICATE OF COVERAGE
If there are differences in this document and the Group policy, the Group Policy is the governing document.
RATES
| Rates | Bi-Weekly | Monthly |
|---|---|---|
| Employee Only | $3.85 | $8.35 |
| Employee + Family | $8.94 | $19.37 |
ELIGIBILITY
Employees can cover unmarried children through age 25 and a legal spouse.
COPAYS AND SERVICES
| Copays for in-network services | |
| Exam | $10.00 |
| Materials | $10.00 |
| Benefit Frequency | |
| Comprehensive Exam | 1 time each Calendar Year |
| Spectacle Lenses | 1 time each Calendar Year |
| Frames | 1 time every 2 Calendar Years |
| Contact Lenses in Lieu of Eye Glasses | 1 time each Calendar Year |
| Frame Benefit | |
| Private Practice Provider | $150 retail frame allowance |
| Retail Chain Provider | $150 retail frame allowance |
| Lens options |
| Standard scratch-resistant coating is covered in full |
| Polycarbonate covered in full |
| Other optional lens upgrades be offered at a discount (Discounts vary by provider) |
| Contact lens benefit |
| Covered-in-full elective contact lenses – The fitting/evaluation fees, contact lenses, and up to two follow-up visits are covered in full (after Copays). If you choose disposable contacts, up to 6 boxes are included when obtained from a network provider. |
| All other elective contact lenses – A $125.00 allowance is applied toward the fitting/evaluation fees and purchase of contact lenses outside the covered selection (materials copy does not apply). Toric, gas permeable and bifocal contact lenses are examples of contact lenses that are outside of our covered contacts. |
| Necessary contact lenses are covered in full after applicable Copays. |
