Vision Benefits

Find a provider at www.humana.com

Network: Humana Vision (Humana Insight Network)

Benefits Summary	Description	In-Network Copay	Out-of-Network (Reimbursement)
Exam	Focus on your eyes and overall wellness	$10 Copay	Up to $30
Prescription Glasses:		$25 Copay
Frames	$100 allowance 20% savings off balance over your allowance	Included in Prescription Glasses	$50 Allowance
Lenses	Single Vision Lined Bifocal Lined Trifocal Lenticular	Included in Prescription Glasses	Up to $25 Up to $40 Up to $60 Up to $100
Lens Enhancements	Scratch-Resistant Coating Standard Progressive Lenses Premium Progressive Lenses	$15 $25 $110 and Up	Up to $40 for Standard Progressive Lenses Only
Contacts (instead of glasses, applies to materials only)	Conventional Disposable Medically Necessary	$100 Allowance 15% off Balance Over $100 $100 Allowance $0 Copay	$80 Allowance $80 Allowance $200 Allowance
Frequency:
Exam		12 Months	12 Months
Lenses		12 Months	12 Months
Lenses		12 Months	12 Months

Bi-Weekly Employee Rates
Employee	$2.77
Employee + Spouse	$5.55
Employee + Child(ren)	$5.27
Family	$8.28

Downloads

Summary of Benefits

Provided By

Humana

Provider Website

http://www.humana.com/

Customer Service