2021 Vision Information
Vision and eye care are critical components of your overall health and well-being. Whether your vision is 20/20 or less than perfect, regular vision check-ups are important. We offer vision care benefits as part of our commitment to total health and wellness. You may register as a member on the Superior Vision website for more targeted provider results.
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?
- Spouse
- Registered domestic partner (see Declaration of Domestic Partnership form)
- Dependent children (up to age 26)
- Other legal dependents (see IRS guidelines)
Vision Plan Employee Premiums
| Coverage Level | Vision |
|---|---|
| Employee | $6.48 |
| Employee + 1 | $12.62 |
| Employee + 2 or more | $22.387 |
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
- Visit SuperiorVision.com
- Call 800-507-3800 (Toll Free)
- Frequently Asked Questions
- Getting Started: Online Member Portal
- Finding In-Network Providers
- Ordering Contact Lenses Online
Plan Documents
2022 Vision Information
Vision and eye care are critical components of your overall health and well-being. Whether your vision is 20/20 or less than perfect, regular vision check-ups are important. We offer vision care benefits as part of our commitment to total health and wellness. You may register as a member on the VSP Vision website for more targeted provider results.
Macalester employees with a .5 FTE or higher are eligible for coverage. Employees may add spouses, registered domestic partners, dependent children up to age 26 as well as other legal dependents.
The below tables are only a summary of cost/care/networks. The Certificate of Coverage will be used for all error and claims processing.