IQVIA Benefits Handbook
BENEFITS COVERED BY THE VISION PLAN
The following chart shows how exams, lenses, frames and contact lenses are covered by the Vision Plans and how benefits are paid when using an in-network or Open Access provider. Keep in mind that both Vision Plans provide coverage once every 12 months for glasses or contacts—not both.
Benefit
Standard Plan
Enhanced Plan
 
In-Network Provider
Open Access Provider
In-Network Provider
Open Access Provider
Routine exam (one exam per person every 12 months)
100% after $10 copay
Up to $40
100% after $10 copay
Up to $50
Lenses (one pair of lenses per person every 12 months)
 
Up to:
 
Up to:
  • Single vision
100% after $25 copay
  • $30
100% after $10 copay
  • $45
  • Lined bifocal
  • $50
  • $70
  • Lined trifocal
  • $70
  • $95
Lens Options
Standard progressive lenses covered 100% after $80 copay; copays range from $110 to $200 for Premium progressive lenses
Progressive lenses reimbursed up to
$50
Standard progressive lenses covered 100% after $10 copay; copays range from $95 to $185 for Premium progressive lenses
Progressive lenses reimbursed up to
$70
Frames
Every 24 months. Up to a retail allowance of $130, plus 20% off any amount over your allowance
Up to $91
Every 12 months. Up to a retail allowance of $175, plus 20% off any amount over your allowance
Up to $125
Contact lenses (one pair of lenses per person every 24 months, in lieu of spectacle lenses and frames)
   
Medically necessary (i.e., if eye glasses will not correct vision impairment)
100%; $0 copay
Up to $300
100%; $0 copay
Up to $300
Elective Contacts
Up to $130 retail allowance
Up to $91
Up to $175 retail allowance
Up to $125