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):₃
- 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

North Dakota State University

Human Resources/Payroll

Vision Insurance

Superior Vision

For assistance using your plan:

Find In-Network Providers:

Human Resources/Payroll navigation