Quick facts
Eye Exam Copay (In-Network)
$10 total copay for exam and/or glasses/necessary contact lenses ($0 at Premier Edge locations)
Frame Allowance (Featured Frame Brand)
$250
Elective Contact Lens Allowance
$150 allowance
Medically Necessary Contact Lens Copay
$10 copay ($0 at Premier Edge locations)
Eye Exam Frequency
Once every calendar year
Standard Frame Allowance (incl. Walmart/Sam's Club)
$200
Lenses Copay (glasses/necessary contacts)
$10 total copay for exam and/or glasses/necessary contact lenses
Low Vision Coverage Maximum
Up to $1,000 maximum every two years
More details (7)
Monthly Premium - Self and Family
$43.75
Monthly Premium - Self Only
$14.56
Monthly Premium - Self Plus One
$29.16
Out-of-Network Elective Contacts Reimbursement
Up to $105 (International up to $105)
Out-of-Network Necessary Contacts Reimbursement
Up to $210 (International up to $210)
Out-of-Network Eye Exam Reimbursement
Up to $45 (International up to $65)
Out-of-Network Frame Reimbursement
Up to $47 (International up to $120)
Carrier contact
800.807.0764 — member services
Group number: OPM02-FEDVIP-02AP-17
Your member ID card: check the carrier website or app, or ask HR for a copy.
Confirm details with your carrier for current plan information.