NDSU offers employees the option to purchase vision insurance for themselves and their family.
|Employee & Spouse||$13.28|
|Employee & Child(ren)||$12.10|
|Family (employee, spouse, & children)||$18.74|
|Comprehensive Eye Exam||$0|
(Materials co-pay applies to lenses and/or
frames, not contact lenses.)
|Contact Lens Fitting||$35|
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|
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|
|- Elective||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.
|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:
Find In-Network Providers:
Please visit Superior Vision’s website at www.superiorvision.com and click on the map to locate a provider.