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Vision Insurance


NDSU offers employees the option to purchase vision insurance for themselves and their family. 

Superior Vision

Monthly Premiums

Employee Only

$4.92

Employee & Spouse

$9.84

Employee & Child(ren)

$8.96

Family (employee, spouse, & children)

$13.88

Co-payments

Comprehensive Eye Exam

$0

Materials
(Materials co-pay applies to lenses and/or
frames, not contact lenses.)

$35 

Contact Lens Fitting

$35  

Plan Services

Service

In-Network1

Out-of-Network

Comprehensive Eye Exam: 

- Ophthalmologist (MD)

Covered in Full

Up to $45

- Optometrist (OD)

Covered in Full

Up to $45

Standard Lenses (Per Pair): 

- Single Vision

Covered in Full

Up to $35

- Bifocal

Covered in Full

Up to $50

- Trifocal

Covered in Full

Up to $70

- Lenticular

Covered in Full

Up to $70

- Progressives

Covered to providers

retail trifocal amount 

Up to $70

Frames - Standard2

Up to $75

Up to $40

Contact Lenses (Per Pair):

- Medically Necessary

Covered in Full

Up to $210

- Elective2

Up to $100

Up to $100

Contact Lens Fitting:4

- Standard

Covered in Full

Not Covered

- Specialty

Up to $50

Not Covered

1 All in-network and out-of-network allowances are at the retail value.

2 The insured is responsible for paying any charges in excess of this allowance.

3 Contact lenses are in lieu of eyeglass lenses and frames benefit.

4 Standard contact lens fitting applies to an existing contact lens user who wears disposable, daily wear, or extended wear lenses only. The specialty contact lens fitting applies to new contact lens wearers and/or a member who wears toric, gas permeable, or multi-focal lenses.

Plan Frequency

Comprehensive Exam

1 per calendar year

Contact Lens Fitting

1 per calendar year

Contact Lenses

1 allowance per calendar year

Frames

1 per calendar year

Lenses

1 pair per calendar year

For assistance using your plan:

Superior Vision Customer Service:
1-800-507-3800

 

Find In-Network Providers:

Please visit Superior Vision’s website at www.superiorvision.com and click on the map to locate a provider.

 

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North Dakota State University
Phone: +1 (701) 231-8961 / Fax: (701) 231-9686
Campus address: SGC 102
Physical/delivery address: 1919 University Dr N, Fargo, ND 58102
Mailing address: NDSU Dept. 3140 / PO Box 6050 / Fargo, ND 58108-6050
Page manager: Human Resources/Payroll

Last Updated: Monday, May 06, 2013 8:32:56 AM