ABOUT US   
   VISION PLANS   
   FIND A PROVIDER   
   LASIK   
   CONTACT US   
PAGE HEADER

This plan is offered to PEHP State of Utah Employees only. Check out the link below to learn more about Opticare-E. Opticare-E has a different provider panel than the other Opticare of Utah Options. If you or your groups are interested in a plan such as Opticare –E, look at Opticare Basic.

Select Network Broad Network Out-of-
Network
Eye Exam
Eyeglass Exam $10 Copay $10 Copay $10 Copay
Contact Exam $10 Copay $10 Copay $10 Copay
Dilation 100% Covered Not Covered Not Covered
Contact Fitting 100% Covered Not Covered Not Covered
Lenses
Plastic: Single Vision, Bifocal or Trifocal 100% Covered $25 Copay $25 Copay
Prograssive (Standard plastic no-line*) $30 Copay $50 Copay $50 Copay
Lenticular 100% Covered $75 Copay $75 Copay
*Co-pays for progressive lenses may vary with lens options and materials
Coatings
Scratch Resistant Coating 100% Covered $10 Copay $10 Copay
Ultra Violet protection 100% Covered $10 Copay $10 Copay
Other Options - A/R, edge polish, tints, mirrors, etc. 25% Discount 20% Discount 20% Discount
Frames
Fashion Affordable (Up to $50 Value) Covered 100% $10 Co-pay $10 Co-pay
Uptown (Up to $100 Value) $30 Co-pay $50 Co-pay $50 Co-pay
Premier (Up to $120 Value) $50 Co-pay $60 Co-pay $60 Co-pay
Designer (Up to $150 Value) $70 Co-pay $80 Co-pay $80 Co-pay
All Frames above $150 50% Discount 35% Discount 35% Discount
Additional pairs of glasses throughout the year
50% Discount 35% Discount 35% Discount
Contacts
$50 Allowance $50 Allowance $50 Allowance
Contact benefit is in lieu of lens and frame benefit
Additional Contact Purchases
Conventional Up to 20% off Not Covered Not Covered
Disposables Up to 20% off Not Covered Not Covered
Refractive surgery (LASIK) $100.00 off per eye Not Covered
LASIK services are not an insured benefit - this is a discount only
Surgery through Physicians Laser Center of SLC, UT
All pre & post operative care provided by Standard Optical
Discounts Any item listed as a discount in the benefit outline above is a merchandise discount only and not an insured benefit

Printable PDF Version


Opticare Basic
Opticare Premier
Opticare 10-70
Opticare 10-120
Opticare Plan: 70 C
Opticare Plan: 130
Opticare-E
Value Vision
Safety Eyewear
Limitations & Exclusions
LASIK Vision Correction
© Standard Optical
    |    
Site Map
    |    
Legal