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 | $22.38 |
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