DeltaVision Vision Insurance provides coverage for an annual eye exam and contact lenses and/or glasses. The plan also includes discounts for refractive eye surgery from numerous providers.
You have 30 days from the date your employment begins to enroll. You may also apply for coverage within 30 days of certain life events.
Additional coverage information can be found at the DeltaVision website.
You can contact DeltaVision Customer Care at 855-544-6035.
Monthly Premiums
| Employee | Employee + Spouse |
Employee + Child(ren) |
Employee + Family |
|
|---|---|---|---|---|
| 2025 Rates | $5.72 | $11.42 | $12.88 | $20.58 |
Coverage
| Schedule of Benefits | In-Network | Out-of-Network |
|---|---|---|
| Annual Routine Exam Copay | $15 per person | Up to $45 per person |
| Eyeglasses Exam Copay | $15 per person | Up to $45 per person |
| Contact Lens Exam Copay | $40 per person | Up to $45 per person |
| Retinal Imaging Copay | Up to $39 per person | No coverage |
| Frames | $150 allowance per person | Up to $70 per person |
| Benefit Frequency
|
Lenses: 12 months
Frames: 24 months adults, 12 months children |
Lenses: 12 months
Frames: 24 months |
| Eyeglasses Copay | Single vision: $25 per person
Bifocal vision: $25 per person |
Single vision: Up to $30 per person
Bifocal vision: Up to $50 per person |
| Progressive Lenses | Standard: Covered in full
Premium: $95 – $105 Custom: $150 – $175 |
Up to $50 per person |
| Conventional and Disposable Contacts | $150 allowance per person | Up to $105 per person |
| Contact Lens Fitting / Follow-up Visit | Standard: Up to $40 per person
Premium: 10% off retail price |
No coverage |