Vision coverage for HDHP members

GEHA's High Deductible Health Plan includes generous supplemental vision benefits.


 

Keep your vision health a priority with Connection Vision powered by EyeMed. Whether you have current vision correction needs or you are interested in annual exams, GEHA's High Deductible Health Plan (HDHP) offers vision coverage for no additional premium.^

(If you are a GEHA Standard or High Option medical member or a GEHA dental plan member, click Vision Benefits for Standard and High Options for information on your vision benefits.)

GEHA’s Connection Vision offers you savings on lenses, frames, and specialty items such as tints, scratch coating, and polycarbonate lenses.  Members also receive savings on LASIK at participating US Laser Network locations.

With Connection Vision, you have access to one of the nation’s largest networks of independent eye doctors, and regional and national retail providers including LensCrafters, Pearle Vision, Sears Optical, Target Optical, and JCPenney Optical.

If you are looking for claim, provider or plan information, sign into your GEHA web account or contact EyeMed Member Services at 877.808.8538.

Vision pricing options for you and your family

EyeMed NetworkOut-of-Network
Eye examinations
Including dilation of necessaryCovered in full after $5 copay, up to a $45 allowance for an out-of-network provider.Covered in full after $5 copay, up to a $45 allowance for an out-of-network provider.
Exam options
Standard contact lens fit and follow-upNo more than $40Full retail price
Premium contact lens fit and follow-upNo more than 90% of retail priceFull retail price
Frames
Any available frame at provider locationCovered 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
Standard spectacle lens (pair)
Plastic single vision$10 materials copayReimbursed up to $25
Plastic bifocal$10 materials copayReimbursed up to $40
Plastic trifocal$10 materials copayReimbursed up to $50
Plastic lenticular$10 materials copayReimbursed up to $80
Progressive lensNo more than $75Reimbursed up to $40
Premium eyeglass lens (pair)
Progressive lensNo more than $75 for the first $120, then 80% of the retail price over $120.Reimbursed up to $40
Eyeglass lens options
UV treatment, tint (solid and gradient)$15Full retail price
Standard plastic scratch coating$15Full retail price
Standard polycarbonate$40Full retail price
Standard anti-reflective coating $45Full retail price
Polarized80% of the retail priceFull retail price
Photochromatic / transitions plastic$75Full retail price
Premium anti-reflectivePrice based on manufacturerFull retail price
Other add-ons80% of the retail priceFull retail price
Contact lens
Conventional$10 material copay for lenses costings $110 or less plus 85% on the retail price over $110Reimbursed up to $110
Disposable$10 material copay for lenses costing $110 or less plus the retail price over $110Reimbursed up to $110
Medically necessary$10 copay, paid in full, requires pre-approval by EyeMedReimbursed up to $250
Laser vision correction
Lasik or PRK from U.S. Laser Network15% off retail price 5% off promotional priceFull retail price
Additional pairs of contacts or glasses
 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 usedFull retail price

 

Vision reimbursement frequency

Frequency
Examinations, spectacle lenses and contact lenses12 months
Frames24 months

Vision coverage information

Upon enrolling in a GEHA medical plan, you will receive a vision ID card from EyeMed and a Connection Vision brochure with a detailed overview of your Connection Vision benefits. If you are looking for claim, provider or plan information, sign into your GEHA web account and click the My Vision Account button or contact EyeMed Member Services at 877.808.8538.

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 and the primary coverage EOB to the following address:

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

To use your vision coverage, start by locating a provider.