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Who is eligible to be covered under Macalester’s vision plan?

Any regular Macalester employee scheduled to work 1007.50+ hours (0.50 full time equivalent (FTE) or higher) is eligible for coverage.

Who can I add to my vision plan?


Vision Plan Employee Premiums

Coverage Level Vision
Employee $6.48
Employee + 1 $12.62
Employee + 2 or more $22.38

Note: Rates shown are per month


Vision Plan Coverage Summary

Service/Feature In-Network Out-of-Network
Exam 1 Every Calendar Year 1 Every Calendar Year
Contact Lens Fitting 1 Every Calendar Year Not covered
Lenses
Either glasses lenses or contact lenses
1 Pair Every Calendar Year (Glasses)
OR
1 Allowance Every Calendar Year (Contacts)
1 Pair Every Calendar Year (Glasses)
OR
1 Allowance Every Calendar Year (Contacts)
Frames 1 Every Other Calendar Year 1 Every Other Calendar Year
Services
Exam
Ophthalmologist
$10 co-pay, then 100% Up to $45 retail covered
Exam
Optometrist
$10 co-pay, then 100% Up to $39 retail covered
Frames $130 retail allowance, then 20% off amount after allowance Up to $70 retail covered
Contact Lens Fitting
Standard
$25 co-pay, then 100% Not covered
Contact Lens Fitting
Specialty
$25 co-pay and $50 retail allowance Not covered
Contact Lenses $130 retail allowance Up to $100 retail allowance
Lenses, per Pair
Standard Single Vision
Covered in full Up to $38 retail allowance
Lenses, per Pair
Standard Bifocal
Covered in full Up to $53 retail allowance
Lenses, per Pair
Standard Trifocal
Covered in full Up to $68 retail allowance
Lenses, per Pair
Polycarbonate for dependent children
Covered in full Not covered
Refractive Surgery 15% – 50% Covered Not covered

Note: The above table is a summary only. The certificate of coverage will be used in case of error and for all claims processing.


Resources

Plan Documents