OK gov Eyewear

							All slides and presentation are for informational purposes
                                                      only.
                                 Confidential & Proprietary
UnitedHealthcare Vision Overview

Benefits                                  In-Network                               Out-of-Network
Co-payments                            $10 Exam Copay                                No co-payment
                                      $25 Materials Copay

Frequency                  exam, pair of lenses and frames available         exam, pair of lenses and frames
                                   once per calendar year                    available once per calendar year


Spectacle Lenses          100%- single vision, lined bifocal, trifocal, or       $40 single vision lenses
                                       lenticular lenses                           $60 bifocal lenses
                                                                                  $80 trifocal/lenticular
Frames                                $130 retail allowance                                      $45


Elective Contact Lenses
  -Covered-in-full                     100% up to 6 boxes                                         n/a
contacts
  -All other elective                       up to $150                                   up to $150
contacts
Necessary Contact                             100%                                              $210
Lenses

                                                                                     All slides and presentation are for informational purposes
                                                                                                                                           only.
                                                                                                                      Confidential & Proprietary
UnitedHealthcare Vision Overview

Changes to Vision plan
$130 allowance applies to retail price of any frame
of the member’s choice at retail chains as well as
at private practice providers. Previously a $50
wholesale allowance was applicable when frames
were purchased at a private practice provider.
Online ID card capability now available via
www.myuhcvision.com .

                                      All slides and presentation are for informational purposes
                                                                                            only.
                                                                       Confidential & Proprietary
UnitedHealthcare Vision Overview
Customer Service Center – San Antonio, TX
        1-800-638-3120 Toll Free
        8:00 a.m. to 11:00 p.m. ET Monday - Friday
        9:00 a.m. to 6:30 p.m. ET Saturday

Interactive Voice Response (IVR) System
        Provider Locator
        Toll-free, 24 hours a day, seven days a week

www.myuhcvision.com – Vision Website
        24-hour benefit access
        Provider Locator & Frequently Asked Questions
        Claims and eyewear order tracking
        Nominate a provider to join our network


                                                         All slides and presentation are for informational purposes
                                                                                                               only.
                                                                                          Confidential & Proprietary