Vision Plan Coverage and Copays

Coverage under the plan includes oversize lenses, blended invisible bifocals, certain fashion frames and sun tinting of plastic lenses, gradient tints, glass gray #3 prescription sunglasses, and initial lenses following cataract surgery. Materials carry a one-year warranty against breakage. Discounts are available for nonprescription and additional prescription glasses.

The plan covers the following services once each calendar year.

Eye Exam

Davis Vision provides a comprehensive eye examination, including a review of your case history, health status of the visual system, refractive status evaluation, binocular function, diagnosis, and treatment. The eye exam is covered in full with a Davis Vision participating provider. The maximum reimbursement with a non-participating provider is $30. Additional fees attributed to measurements for contact lens fittings are not covered.

Please note:  Your health plan may cover one eye exam annually. Contact your health plan directly to ask if eye exams are covered.

Eyeglasses

Davis Vision has developed its own laboratories from which all plan lenses are made. Your participating provider will automatically send your prescription to the Davis laboratory where your lenses will be made.

Lenses

Lenses are covered in full with a Davis Vision provider. The maximum reimbursement with a non-participating provider is:

  • Single-vision lenses, $25
  • Bifocal lenses, $35
  • Trifocal lenses, $45

Eyeglass Frames

You can choose from Davis Vision's Fashion, Designer and Premier Collections. There are approximately 300 frames to select from, and these collections can be seen in any participating provider office. There will be an additional cost for some frames.  There is a one-year warranty against breakage on all in-network plan-provided eyeglasses.

Fashion, designer, and premier collections are covered in full with a Davis Vision provider or receive a $50 credit toward a network provider's own frame. The maximum reimbursement with a non-participating provider is $30

Additional Options

The following options are covered in full with a Davis Vision provider and are not covered if you go to a non-participating provider:

  • Scratch-resistant coating
  • Blended invisible bifocals
  • Ultraviolet (UV) coating

Additional Plan Enhancements

If your prescription requires additional enhancements, a copay will be added; however, the costs are generally at wholesale prices when ordered through a Davis Vision provider.

  • Progressive Addition Multifocals*, $50
  • Polycarbonate lenses, $30
  • Glare-resistant treatment, $33
  • Polaroid lenses, $60
  • High index lenses, $55
  • Premium Glare-resistant treatment (anti-reflective coating), $48

*Progressive Addition Multifocals can be worn by most people, but not all. Conventional bifocals will be provided to those unable to adapt to Progressive Addition lenses; however, the copay will not be refunded.

Contact Lenses in lieu of Eyeglasses

Some contact lenses in lieu of eyeglasses are also covered in full with a Davis Vision provider.  Contact Davis Vision to verify that your brand of contacts is covered before you enroll in the plan. The maximum reimbursement with a non-participating provider is $75.

  • Standard daily wear soft lens users will receive one pair of lenses.
  • Disposable contact lens wearers will receive four multi-packs of lenses.
  • Planned replacement contact lens wearers receive two multi-packs of lenses.

Non-plan Contact Lenses

A $105 retail credit will be applied toward contact lenses from the Davis Vision provider's own supply. Non-plan contact lenses are not covered if you go to a non-participating provider.  

Please note: Contact lenses can be worn by most people. Once the contact lens option is selected and the lenses are fitted, they may not be exchanged for eyeglasses.

Laser Vision Correction Services

Davis Vision provides you and your eligible dependents with the opportunity to receive Laser Vision Correction Services at discounts of up to 25% off a participating provider's normal charges, or 5% off any advertised special (please not that some providers have flat fees equivalent to these discounts). Please check the discount available to you with the participating provider. For more information, visit davisvision.com or call 1-800-999-5431.

Buy a Voucher Program

You can purchase additional pairs of eyeglasses or contact lenses directly from Davis Vision. To speak with a Davis Vision representative, call 1-800-999-5431. You will hear a prompt to "Enter the member's ID number." Your Davis Vision member ID number is your UMID or your Social Security Number. If you don't know your member ID number, or wish to bypass the menu options, simply do nothing. The prompt will repeat two more times, and when you don't enter a member ID number after the third prompt your call will be automatically transferred to a Davis Vision representative.

Ask to purchase a "Buy-A-Voucher." A Member Service Representative will verify your eligibility and help you with your purchases. available services and costs are listed below.

You may charge Buy-A-Voucher services over the phone with your VISA or Mastercard, or send your personal check directly to Davis Vision.

Voucher Services and Costs

  • Single vision lenses and frame, $69
  • Bifocal lenses and frame, $84
  • Trifocal lenses and frame, $94
  • Single vision lenses only, $37
  • Bifocal lenses only, $52
  • Trifocal lenses and frame, $62
  • Frame only, $41
  • Contact lenses (including fitting), $143
  • Eye examination, $49

Material prices do not include an eye examination and are applicable to plan frames and lenses.

All prices include a $9 administration fee. The administration fee applies only once for any service or combination of services. These prices are subject to change.

Questions

If you have questions about the Vision Plan or need to find a participating provider, call Davis Vision at 1-800-999-5431. You will hear a prompt to "Enter the member's ID number." Your Davis Vision member ID number is your UMID or your Social Security Number. If you don't know your member ID number, or wish to bypass the menu options, simply do nothing. The prompt will repeat two more times, and when you don't enter a member ID number after the third prompt your call will be automatically transferred to a Davis Vision representative.

Vision Plan Forms and Documents

Download the Vision Care Plan Benefit Description from Davis Vision

Download and print a Davis Vision Direct Reimbursement Claim Form to request reimbursement if you go to a non-participating provider.