Vision Plan

Medicare-Eligible Members

National Vision Administrators, L.L.C. (NVA) offers vision benefits through a nationwide network. Basic, premium and ultra plans are offered with specific copayments for services from network providers. Plans offer allowances for services from non-network providers. The vision plan does not replace medical coverage for eye disease or injury.

You select a provider of your choice. It is recommended you choose an NVA network provider for best use of the vision plan. If you decide to go to a non-network provider, you can, but your out-of-pocket costs will likely be higher. When receiving services from a network provider, NVA pays the provider directly. When receiving services from a non-network provider, members pay the provider and file the claim. Reimbursement checks for non-network claims may take up to 30 days to process.

Retirees who are not enrolled in vision coverage at retirement are not eligible to enroll later.

Service Type	Description	Basic Plan - Network	Premium Plan - Network	Ultra Plan - Network	Non-Network
Exams	One every calendar year, two every calendar year up to age 18	$10 copayment	$10 copayment	$10 copayment	NVA pays up to $45
Lenses	Once every calendar year Single-vision, bifocal, trifocal, lenticular	$25 copayment	$25 copayment	$25 copayment Lens includes scratch coating, UV protection, Polycarbonate, tints, AR coating (tier 1) & Progressive Lenses Tiers 1 & 2	Maximum amount NVA pays varies based on type of lenses
Frames	Once every two calendar years, once every calendar year up to age 18	Up to $125 retail allowance and 20% discount off remaining balance	Up to $175 retail allowance and 20% discount off remaining balance	Up to $175 retail allowance and 20% discount off remaining balance	NVA pays up to $70
Contact Lenses – Elective (You prefer contacts to glasses.)	Once every calendar year in place of eyeglass lenses	Up to $125 retail allowance and 15% discount off conventional or 10% discount off disposable remaining balance	Up to $175 retail allowance and 15% discount off conventional or 10% discount off disposable remaining balance	Up to $175 retail allowance and 15% discount off conventional or 10% discount off disposable remaining balance	NVA pays up to $105
Contact Fitting and Evaluations	For daily contact lenses, extended contact lenses and specialty contact lenses	$20 to $50 copayment depending on type of lenses	$20 to $50 copayment depending on type of lenses	$0 Copayment	NVA pays up to $20 to $30 depending on type of lenses

Video Resources

Vision benefits can be confusing. NVA cuts through the clutter by helping organizations and their members be smarter buyers of eye care and eyewear.

MCHCP is constantly evaluating the best way to communicate with its members. MCHCP currently utilizes Google’s YouTube service to host informational videos. We understand that not all state agencies allow content from YouTube through their approved content web filters. Please see your respective IT department for help in gaining access to our video content or review them from a device connected by a non-state internet service provider.

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