Vision coverage for HDHP members

GEHA's HDHP 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 HDHP offers vision coverage for no additional premium.^

(If you are a GEHA Elevate, Standard Option, Elevate Plus or High Option medical member or a GEHA dental plan member, click Vision coverage for Elevate, Standard Option, Elevate Plus and High Option members 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 and Target Optical. EyeMed also includes online providers such as contactsdirect.com, glasses.com and ray-ban.com.

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 Network Out-of-Network
Eye examinations
Including dilation of necessary Covered 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-up No more than $40 Full retail price
Premium contact lens fit and follow-up No more than 90% of retail price 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
Standard spectacle lens (pair)
Plastic single vision $10 materials copay Reimbursed up to $25
Plastic bifocal $10 materials copay Reimbursed up to $40
Plastic trifocal $10 materials copay Reimbursed up to $50
Plastic lenticular $10 materials copay Reimbursed up to $80
Progressive lens No more than $75 Reimbursed up to $40
Premium eyeglass lens (pair)
Progressive lens No 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) $15 Full retail price
Standard plastic scratch coating $15 Full retail price
Standard polycarbonate $40 Full retail price
Standard anti-reflective coating  $45 Full retail price
Polarized 80% of the retail price Full retail price
Photochromatic / transitions plastic $75 Full retail price
Premium anti-reflective Price based on manufacturer Full retail price
Other add-ons 80% of the retail price Full retail price
Contact lens
Conventional $10 material copay for lenses costings $110 or less plus 85% on the retail price over $110 Reimbursed up to $110
Disposable $10 material copay for lenses costing $110 or less plus the retail price over $110 Reimbursed up to $110
Medically necessary $10 copay, paid in full, requires pre-approval by EyeMed Reimbursed up to $250
Laser vision correction
Lasik or PRK from U.S. Laser Network 15% off retail price 5% off promotional price Full 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 used Full retail price

Vision reimbursement frequency

Frequency
Examinations, spectacle lenses and contact lenses 12 months
Frames 24 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.