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Opticare
Basic Plan |
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Opticare of Utah 1901 W. Parkway Blvd., SLC, UT, 84119
Phone: (801) 886-2020, (800) EYE-CARE Fax: (801) 954-0054 |
www.opticareofutah.com |
USEA |
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Download enrollment form here »
Return the completed enrollment form to:
USEA - 864 E Arrowhead Lane - Murray, UT 84107
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Select Network Only |
Eye exam |
| Routine Eyeglass exam |
$10 co-pay |
| Routine Contact exam |
$10 co-pay |
Lenses |
| Plastic: Single Vision, bifocal, or trifocal |
100% covered |
| Progressive lenses (Standard plastic no-line **) |
$50 co-pay |
| Glass Lenses |
15% discount |
| Polycarbonate |
$40 co-pay |
| High Index |
$80 co-pay |
| Lenticular |
100% covered |
| ** Co-pays for progressive lenses may vary with lens options and materials |
Coatings |
| Scratch resistant coating |
100% covered |
| Ultra Violet protection |
100% covered |
| *Scratch and UV are not covered benefits outside of Utah. |
| Other Options: A/R, edge polish, tints, mirrors, etc. |
25% discount |
Frames |
| Allowance Based on Retail Pricing |
$70 Allowance |
| Additional pairs of glasses throughout the year |
50% off retail |
Contact Lenses |
| Contact benefit is in lieu of lens and frame benefit |
$50 allowance |
Additional contacts purchases |
| Conventional |
Up to 20% Discount |
| Disposables |
Up to 10% Discount |
Outside Prescriptions |
| All providers honor all optical prescriptions, even if the prescription is from a different or a non-authorized provider |
Frequency |
| Exams, Lenses, Frames, Contacts |
Every 12 months |
Discounts |
| Any item listed as a discount in the benefit outline above is a merchandise discount only and not an insured benefit |
Refractive surgery (LASIK) |
| LASIK services are not an insured benefit - this is a discount only |
$250.00 off per eye |
| Pre & post operative care provided by Standard Optical |
| Based on Standard Optical Retail Fees |
Optical Options not listed above |
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Approved providers offer discounts on any items or upgrades not specifically listed on this benefit outline.
In general this is done by subtracting the relative value of the above related benefit from the retail price of the desired optional item.
Please call any of our approved providers for full details or prices. |
Monthly Premiums |
USEA |
| Single |
$4.27 |
| Two Party |
$9.05 |
| Family |
$13.11 |
Download enrollment form here »
Return the completed enrollment form to:
USEA - 864 E Arrowhead Lane - Murray, UT 84107 |