South Washington County SchoolsIndependent School District #833

SoWashCo is part of EyeMed's Insight Network. Employees have two plans to choose from (see plan options below).

*Remember that you receive an annual eye exam covered by HealthPartners if you are enrolled in SoWashCo's HealthPartners health plan.

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Eye Wellness/Health
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EyeMed Vision Plan
	Exam + Materials In-Network (Member Cost)	Materials Only In-Network (Member Cost)	Out-of-Network Reimbursement
Exam (Once every 12 months)	$10 copay	N/A	Up to $40 (Exams + Materials Plan Only)
Lenses (Once every 12 months)
Single Vision	$25 copay	$25 copay	Up to $40
Bifocal	$25 copay	$25 copay	Up to $60
Trifocal	$25 copay	$25 copay	Up to $80
Lenticular	$25 copay	$25 copay	Up to $70
Lens Enhancements (Once every 12 months)
Standard Progressive Lenses	$25 copay	$25 copay	Up to $80
Premium Progressive Lenses	$110-$200 copay	$110-$200 copay	Up to $80
Frames (Once every 24 months)	$150 allowance (20% off remaining balance)	$150 allowance (20% off remaining balance)	Up to $120
Contact Lenses (Instead of Glasses) (Once every 12 months)
Elective	$150 allowance (15% off remaining balance)	$150 allowance (15% off remaining balance)	Up to $120
Medically Necessary	No cost	No cost	Up to $210