Vision Benefits
Vision insurance offers coverage for the routine care of your eyes and may provide coverage for eyeglasses and contact lenses.
Keep in mind that your costs will generally be lower if you choose an in-network eye-doctor. To find an in-network eye-doctor, please visit https://www.mutualofomaha.com/vision.
In-Network |
Out-of-Network |
|
|---|---|---|
Routine Eye Exam |
$10 Copay |
Up to $45 |
Contact Lens Exam |
Up to $60 Copay |
Not Covered |
Lenses |
||
Single |
$25 Copay |
Up to $30 |
Bifocal |
$25 Copay |
Up to $50 |
Trifocal |
$25 Copay |
Up to $65 |
Progressive |
Up to providers contracted fee |
Up to $50 |
Standard Polycarbonate |
Covered in full for children |
Not covered |
Scratch Resistant Coating |
$17 - $33 Copay |
Not covered |
Anti-Reflective Coating |
$43 - $85 Copay |
Not covered |
Frames |
||
Costco and Walmart allowance will be the |
$150 allowance* & 20% off balance |
Up to $75 |
Contact Lenses |
||
Medically Necessary |
Covered in full |
Up to $210 |
Elective |
$150 allowance |
Up to $120 |
Frequency |
||
Exam |
Once every 12 months |
Once every 12 months |
Lenses |
Once every 12 months |
Once every 12 months |
Frames |
Once every 24 months |
Once every 24 months |
Contacts |
Up to $60 Copay |
Not covered |
Dependent Age Limit |
26 |
26 |
Bi-Weekly Cost |
Employee Annual Cost |
SCC Annual Contribution |
|
|---|---|---|---|
Employee |
$2.88 |
$69.12 |
$0.00 |
Employee + Spouse |
$5.55 |
$133.20 |
$0.00 |
Employee + Child(ren) |
$5.11 |
$122.64 |
$0.00 |
Family |
$7.78 |
$186.72 |
$0.00 |
Group Number
G000CJGN
Provided By
Mutual of Omaha
Provider Website
https://www.mutualofomaha.com/vision
Customer Service
Resources
Frequently Asked Questions