Vision

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What's Covered


​80%

The Health Care Plan pays reasonable and customary charges incurred for eligible expenses.

 

You pay the remaining cost.

Expenses with a maximum reimbursable amount will be paid at 100%.

Eligible Expenses 

Read what limitations and exclusions apply to this coverage.

​Type of Expense ​Limitation
Artificial Eyes and Replacements

Including replacement of existing eye, no earlier
than:

  • 60 months after the last purchase, for covered
    persons over age 21, or
  • 12 months after the last purchase, for spouse or children 21 years of age or less
Eye Examinations By a licensed optometrist. One examination for each covered person in each two-year calendar period
Eyeglasses and Contact Lenses needed to correct vision, prescribed by an ophthalmologist or optometrist, and repairs Maximum reimbursable expense of $2251 for each two-year calendar period
Eyeglasses or Contact Lenses (initial purchase) required as the direct result of surgery or an accident Must be purchased within six months of such surgery or accident, or as soon as is reasonably possible, in Sun Life’s opinion
Laser Eye Surgery Can be claimed against the same maximum reimbursable expense of $2251 as eyeglasses and contact lenses in subsequent two-year calendar period (under the regular Health Care Plan, not the Health Spending Account) until the full cost has been claimed.

 1 All expenses with a maximum reimbursable amount will be paid at 100% coinsurance.

 

Published on February 01, 2016