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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$6.64
Employee & Spouse$13.28
Employee & Child(ren)$12.10
Family (employee, spouse, & children)$18.74
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 FullUp to $45
- Optometrist (OD)Covered in FullUp to $45
Standard Lenses (Per Pair): 
- Single VisionCovered in FullUp to $35
- BifocalCovered in FullUp to $50
- TrifocalCovered in FullUp to $70
- LenticularCovered in FullUp to $70
- Progressives

Covered to providers

retail trifocal amount 

Up to $70
Frames - Standard2Up to $75Up to $40
Contact Lenses (Per Pair):
- Medically NecessaryCovered in FullUp to $210
- Elective2Up to $100Up to $100
Contact Lens Fitting:4
- StandardCovered in FullNot Covered
- SpecialtyUp to $50Not 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 Exam1 per calendar year
Contact Lens Fitting1 per calendar year
Contact Lenses1 allowance per calendar year
Frames1 per calendar year
Lenses1 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: Friday, May 15, 2015 1:28:00 PM