Benefits at a Glance

Calhoun City Schools use United Healthcare as their provider for quality eye care services.

Employees can choose vision coverage for themselves, add an additional family member, or cover the entire family under the United Healthcare vision plan.

The plan utilizes the Insight Network.

Monthly Premiums

Employee Only Employee + 1 Employee + Family
$6.28 $11.01 $18.14
  • Children can be covered to age 26.

For more information, please review the Benefits Summary

A list of services for UnitedHealthcare are detailed below:

Benefit In-Network Out of Network
Reimbursement
Exam 100% up to $40
Lenses
Single Vision 100% up to $40
Lined Bifocals 100% up to $60
Lined Trifocals 100% up to $80
Frames 100% up to $130 Retail up to $45
Contact Lenses
Covered Elective 100% up to 4 boxes up to $105
Other Elective up to $105 up to $105
Necessary 100% up to $210

Eligibility

All full-time employees working 75% (or 100% in the case of bus drivers) of assigned full-time position per week are eligible for coverage the first of the month following one calendar month of continuous employment.

Legally married spouses and eligible dependent children up to age 26 regardless of marital or student status are also eligible.

Benefits at a Glance

Co-Pays

 Exam $10 Copay
 Lenses $20 Copay
 Frames  $20 Copay

Frequency

 Exam every 12 months
 Lenses every 12 months
 Frames  every 24 months

Providers & Locator

To locate providers, call 1-800-839-3242 or use the UnitedHealthcare Vision Provider Locator at www.myuhcvision.com and click on Provider Quick Search tab.

Certificate of Coverage

Certificate of Coverage- 2024