Vision Plan

Waters offers you the EyeMed Vision Plan, which provides routine exams and eye-wear at discounted rates when you receive care within EyeMed’s nationwide Insight Plan H network of vision care providers.

EyeMed Vision Plan Showing in-network pricing only. The full plan summary, including out of network coverage, is located in the Library of WatersBenefitsNow.com.
Network	INSIGHT Plan H network
Premium	Employee only	$3.32/paycheck (bi-weekly rate) ($86.32/year) OR $3.60 (semi-monthly rate) ($86.32/year)
	Employee + children	$5.76/paycheck (bi-weekly rate) ($149.76/year) OR $6.24 (semi-monthly rate) ($149.76/year)
	Employee + spouse/partner	$6.20/paycheck (bi-weekly rate) ($161.20/year) OR $6.72 (semi-monthly rate) ($161.20/year)
	Family	$9.16/paycheck (bi-weekly rate) ($238.16/year) OR $9.93 (semi-monthly rate) ($238.16/year)
Routine Eye Exams once every 12 months	100% covered
Retinal Imaging	Up to $39 copay
Frames once every 24 months	First $130, fully covered Balance after $130, 20%/80% coinsurance
Lenses once every 12 months	Single, Bifocal, Trifocal, Lenticular	$20 copay
	Standard Progressives	$85 copay
	Premium Progressives	$105-$130 copay
Contacts once every 12 months	Conventional	First $150, fully covered Balance after $150, 15%/85% coinsurance
	Disposable	First $150, fully covered Balance after $150, no coverage
	Medically Necessary	100% Covered
Laser Vision Correction LASIK or PRK from U.S. Laser Network	Retail Price	15% Discount
	Promotional Price	5% discount

For more details, including costs for additional services, out-of-network coverage, and provider search details, review the Vision Plan Summary in the Library of WatersBenefitsNow.com, or go to www.eyemed.com, or call 1-866-804-0982.