Always Vision Plans

 

Always VisionSM
Meet the vision care needs of you and your family, including exams, lenses, frames and contacts.
Click this link to view the enrollment document as an Adobe PDF File

Am I Eligible for Coverage?
You are eligible for coverage if you are an LSU System employee appointed 75 percent effort or greater for one semester or 121 days. Your spouse and unmarried, dependent children also are eligible for coverage.

Who Pays for This Coverage?
If you choose to participate, you will pay 100 percent of the premium through payroll deduction. This premium is eligible for tax sheltering under the Tax-Saver Premium Only Plan. (For additional information, see employee benefits handbook, page 16.) Your monthly rate will vary, depending on the number of dependents insured. Nine- and 10-month employees pay a full 12 months of premiums during their 9- or 10-month appointments.

Coverage

Coverage	Monthly Cost
Employee Only	$ 8.29
Employee + Spouse	$13.96
Employee + Children	$14.26
Employee + Family	$22.98

When and How Do I Enroll?
You may enroll within 30 days of your employment or eligibility. Simply complete the vision enrollment card inside and return it to your Human Resources Department.

If you do not enroll when first eligible, you may enroll during the April annual enrollment for an effective date of July 1.

Why Should You Enroll?
You receive a vision exam and eyeglass lenses every 12 months and eyeglass frames every 12 months. As an alternative to eyeglasses, you may choose elective contacts annually. You receive your exam benefit at participating providers for a small $10 co-pay. You receive your choice of eyeglasses or contact lenses at no co-pay when you visit Wal-Mart Vision Centers, and a $15 co-pay when you visit other participating providers.

Real, Repeatable Savings
With Wal-Mart's renowned "Everyday Low Pricing" and savings at many other participating providers members receive real, dependable value on exams, lenses, frames and contacts. Most people who wear glasses purchase additional eyewear from spares to reading glasses and sunglasses. With many participating providers, members have repeatable savings; they benefit from lower fees any time they present their membership card for direct purchases, regardless of how much or how frequently they use their savings benefit. Members always benefit from Everyday Low Pricing at Wal-Mart.

Vision Care Services	Wal-Mart Vision Centers	Other Participating Optometrists, Ophthalmologists, Retail Outlets Click HERE for Provider Locator	Out-of-Network Allowance
Exam	$10 Co-pay	$10 Co-pay	Up to $30
Materials	$0 Co-pay	$15 Co-pay	See below
Standard Plastic Lenses:
Single Vision	Covered	Covered by Co-pay	Up to $25
Bifocal	Covered	Covered by Co-pay	Up to $40
Trifocal	Covered	Covered by Co-pay	Up to $50
Lenticular	$80 allowance	$80 allowance	Up to $50
Progressive	$70 allowance	$70 allowance	Up to $40
Lens Options:
Scratch resistant coating	Covered	N/A	N/A
Polycarbonate Lenses for children	Covered	N/A	N/A
Frames: Memebers choose from any frame available provider locations	No Co-pay. Up to $74 retail allowance, depending on plan selected. $74 covers two-thirdsof frames available at Wal-Mart.	$100 retail frame (retail amount may vary at some providers). Covers a wide selection of frames.	Up to $40
Contact Lenses:
(Includes fit, follow-up and materials)	No Co-pay	After Co-pay
Elective
Comprehensive Plan Allowance	Up to $130 retail	Up to $130 retail	Up to $130 retail
Medically Necessary	Up to $210 retail	Up to $210 retail	Up to $210 retail
Laser Vision Correction:	20% discount on Lasik or PRK retail prices performed by participating surgery providers.

Limitations & Exclusions. This is a primary vision care benefit and is intended to cover only eye examinations and corrective eyewear. Medical or surgical treatment of eye disease or injury is not provided under this plan. Coverage may not exceed the lesser of the actual cost of covered services and materials or the limits of the policy. Covered Materials that are lost or broken will be replaced only at normal service intervals indicated in the Plan Design; however, these materials and any items not covered below may be purchased at Preferred Pricing from a Participating Provider. In addition, benefits are payable only for expenses incurred while the Group and individual Member coverage is in force.

This plan will not cover: Orthopedics or vision training and any supplemental testing; plan (non-prescription) lenses; or two pair of eyeglasses in lieu of bifocals or trifocals. Medical or surgical treatment of the eyes. An eye exam or corrective eye wear required by an employer as a condition of employment. Any injury or illness covered under Workers’ Compensation or similar law, or which is work related. Plain or prescription sunglasses or tinted lenses, and no-line bifocals and blended lenses. Sub-normal vision aids. Services rendered or materials purchased outside the U.S. or Canada, unless: the insured resides in the U.S. or Canada, and the charges are incurred while on a business or pleasure trip. Charges in excess of Usual and Customary for services and materials. Experimental or non-conventional treatments or devices. Safety eyewear. Spectacle lens styles, materials, treatments or “add-ons” not shown in the Schedule of Benefits. Laser Vision Correction Network Membership provides access to Preferred Pricing. Transactions for laser correction are handled directly between Members and Providers. Refractive surgery is an elective procedure and may involve potential risks to patients. Starmount cannot and does not guarantee the outcome of any refractive surgical procedure or a total elimination of the need for glasses or contacts. Providers may not be available in all metropolitan areas.