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Vision Benefits

No changes to our Vision plans in 2021. Community Eye Care (CEC) is our administrator and we will still offer two plans – one with an eye exam and one without.

  • Non-prescription eyewear is also covered under the CEC plan including sunglasses as long as the purchases are made from an optical shop.
  • No out-of-network penalties. The full benefit of $250 can be used out-of-network. You just have to file for reimbursement to claim the $250 benefit by completing an out-of-network claim online.
  • CEC has an in-network online retailer, Coastal.com if you want to use an online retailer. Upload your picture and “try on” glasses!
  • This is a calendar year benefit and resets every January 1; regardless of when you had your service in the previous year.
  • The vision benefit is fully portable – which means when you leave Cone Health, you can take your vision plan with you for life at your current rate!

Remember: If you have healthcare coverage with Cone Health, your coverage includes an annual eye exam.

You should consider the Comprehensive Plan if:

  • you do not have medical coverage with Cone Health and you’re unsure if an eye exam is covered in your plan.
  • your eye provider is not in your medical plan network.
  • you may need to take advantage of the children’s vision benefit of more than one eye exam per year.
  • you will be retiring from Cone Health and want the Comprehensive Plan to take with you into the future.

Vision Plan Comparison

Coverage Details
Community Eye Care Eyewear Plan (No Exam)
Community Eye Care Comprehensive Plan (Includes Exam)
Eye Exam
Not Covered
Free annual routine eye exam
Eyewear Allowance
Flexible $250 annual benefit for purchase of glasses, contacts or a combination. Non-prescription eyewear, including sunglasses, are included in the CEC plan as long as you purchase them from an optical store.
Flexible $250 annual benefit for purchase of glasses, contacts or a combination Non-prescription eyewear, including sunglasses, are included in the CEC plan as long as you purchase them from an optical store.
Annual contact lens fitting or evaluation
Not covered
$25 co-pay
Discounts – available from most in-network providers
  • 30% on progressive lenses
  • 20% on frames and/or lenses
  • 10% on contact lenses
  • 30% on progressive lenses
  • 20% on frames and/or lenses
  • 10% on contact lenses
Out-of-network benefit
Full covered benefit of $250; no Out-of-Network penalties. However, you have to file for reimbursement at cecvision.com/oonform or cecvision.com/oonform-costco (specifically for faster reimbursement of Costco claims). Some restricted locations apply and include Macy’s, Sunglass Hut, Dick’s Sporting Goods, Oakley, Ray-Ban and Amazon.com. For a comprehensive list, go to www.cecvision.com/supplemental-information.
Full covered benefit of $250; no Out-of-Network penalties. However, you have to file for reimbursement at cecvision.com/oonform or cecvision.com/oonform-costco (specifically for faster reimbursement of Costco claims). Some restricted locations apply and include Macy’s, Sunglass Hut, Dick’s Sporting Goods, Oakley, Ray-Ban and Amazon.com. For a comprehensive list, go to www.cecvision.com/supplemental-information.

Pay Period Premiums (26 pay periods)

Coverage Option
Community Eye Care Eyewear Plan (No Exam)
Community Eye Care Comprehensive Plan (Includes Exam)
Employee Only
$2.95
$4.95
Employee + Child(ren)
$6.37
$10.68
Employee + Spouse
$4.88
$8.13
Employee + Family
$8.75
$14.76