Vision Benefits for HDHP Members

If you are a Health Savings Advantage high-deductible health plan member, Connection Vision® powered by EyeMed offers you and your covered family members professional vision care from qualified EyeMed providers. (If you are a GEHA High or Standard Option health plan member or a GEHA dental plan member, click Vision Benefits for High & Standard Options for information on your vision benefits.) To locate a participating EyeMed provider in your area, click Find a Vision Provider

EyeMed includes thousands of network providers including LensCrafters, Pearle Vision, Sears Optical, Target Optical, JCPenney Optical and private practitioners.

The following supplemental vision services are not subject to the HDHP plan deductible. Reimbursement of material benefit is limited to a choice of one pair of frames, spectacle lenses or contact lenses. Spectacle lenses are in lieu of contact lenses. Any unused portion of the funded benefit cannot be applied to offset the cost of additional services.

Vision benefit Examination Spectacle lenses Frames Contact lenses
Reimbursement frequency 12 months 12 months 24 months 12 months

Eye exam benefits

EyeMed network provider

Out-of-network provider

Eye exam, including dilation as necessary

Covered in full after a $5 exam copay

Reimbursed up to $45

Exam options:
Standard contact lens fit and follow-up


Premium contact lens fit and follow-up

You pay no more than $55

You pay no more than 90% of retail price

You pay full retail price

You pay full retail price

Frames: Any available frame at provider location

Covered in full if retail price of the frame selected is $100 or less.
For frames costing more than $100, you pay 80% of retail price over $100.

Reimbursed up to $45

Spectacle lenses (pair):
Standard plastic single vision


Standard plastic bifocal


Standard plastic trifocal


Standard plastic lenticular


Standard progressive lens


Premium progressive lens

$10 materials copay

$10 materials copay

$10 materials copay

$10 materials copay

You pay no more than $75

You pay no more than $75 for the first $120, then 80% of the retail price over $120.

Reimbursed up to $25

Reimbursed up to $40

Reimbursed up to $50

Reimbursed up to $80

Reimbursed up to $40

Reimbursed up to $40

Eyeglass lens options:
UV treatment


Tint (solid and gradient)


Standard plastic scratch coating


Standard polycarbonate


Standard anti-reflective coating


Polarized


Photochromatic / transitions plastic


Premium anti-reflective


Other add-ons

You pay $15


You pay $15


You pay $15


You pay $40


You pay $45


You pay 80% of the retail price

You pay $75


Price based on manufacturer

You pay 80% of the retail price

You pay full retail price

You pay full retail price

You pay full retail price

You pay full retail price

You pay full retail price

You pay full retail price

You pay full retail price

You pay full retail price

You pay full retail price

Contact lenses:

Conventional






Disposable






Medically necessary

(In lieu of spectacle lenses)
You pay the $10 material copay for lenses costing $110 or less plus 85% on the retail price over $110

You pay the $10 material copay for lenses costing $110 or less plus the retail price over $110

$10 copay, paid in full, requires pre-approval by EyeMed

Reimbursed up to $110





Reimbursed up to $110





Reimbursed up to $250

Laser vision correction: Lasik or PRK from U.S. Laser Network

15% off retail price or 5% off promotional price

You pay full retail price

Additional pairs of glasses or contacts

40% off the retail price for complete pair eyeglass and 15% off the retail price for conventional contact lenses after the funded benefit has been used

You pay full retail price

Standard/premium progressive lenses not covered – fund as a bifocal lens. Members receive a 20% discount on items not covered by the plan at network providers that cannot be combined with any other discounts or promotional offers. Discount does not apply to network providers' professional services or contact lenses. Limitations and exclusions apply. There are certain brand-name vision materials in which the manufacturer imposes a no-discount practice. Benefit allowances provide no remaining balance for future use within the same benefit frequency. Underwritten by Combined Insurance Company of America, 5050 Broadway, Chicago, IL 60640, except in New York.

You can contact EyeMed Member Services at (877) 808-8538 to:

  • Locate a participating provider;
  • Request duplicate ID cards;
  • Request claim forms;
  • Check on claim status;
  • Speak to a EyeMed Customer Service representative.

You can also use EyeMed Member Services online by signing in to your GEHA web account and clicking the My Vision Account button.

GEHA members will receive a separate vision ID card from EyeMed to use for these services.

EyeMed will process all in-network claims systematically. Members will only be responsible for copays and amounts over allowances at time of service.

You will need to pay for out-of-network services in full at the time of service, and submit an out-of-network claim form (PDF) along with a copy of the itemized bill for reimbursement to the following address:

EyeMed Vision Care
Attn: OON Claims
P.O. Box 8504
Mason, OH 45040-7111