Most participants and their dependents are eligible for an annual eye examination as well as the vision benefits outlined below. However, certain Acme Markets participants who are employed part-time are only eligible for the annual eye exam, and no other vision benefits.

​

Standard plastic single-vision lenses and standard bifocals, trifocals and lenticular lenses are provided by the Fund at no cost, once every 12 months from the date you last received lenses under the Plan. If you choose other types of lenses, or if you want any extras, such as tinted lenses, scratch-resistance coatings, or other special features, you will be responsible for the cost of the options that you choose.

​

Frames are covered once every 24 months from the date you last received frames under the Plan. The Fund will pay an allowance towards the cost of the frames. You are responsible for any charges in excess of the applicable frame allowance, after a 20% discount on the excess.

​

If you wear contact lenses, the Fund will pay an allowance toward the retail cost of conventional or disposable contact lenses, once every 12 months from the date of your last covered service instead of all other benefits. You are responsible for any charges in excess of the applicable contact lens allowance, after a 15% discount on the excess for conventional (non-disposable) contact lenses only. You will not receive any discount on the balance due over allowances for disposable lenses. You are also responsible for any charges for contact lens fitting and follow up. Medically necessary contact lenses are paid in full. If you use the contact lens allowance, you will not be eligible for the standard lenses benefit for a period of 12 months.

​

 For laser vision correction from a U.S. Laser Network provider, you will be entitled to a 15% discount on the retail cost, or a 5% discount on the promotional cost. To find a U.S. Laser Network provider, call 1 (877) 552-7376 or visit www.eyemedlasik.com.

​

Exclusions

​

Some vision care expenses are not covered, including but not limited to:

​

• Special procedures, such as orthoptics and aniseikonic lenses, among others.

• Contact lenses and related services, other than the applicable allowance once every12 months.

• Medical or surgical treatment of the eyes.

• Vision care or materials provided by federal, state or local government.

• Services or materials covered under Workers’ Compensation.

• Sunglasses (non-prescription).

• Services performed by a provider who does not participate in the EyeMed Insight network.

• Replacement of lost or stolen glasses.​

 

If you are not certain whether a service is covered under the vision benefit, contact EyeMed at 1 (866) 804-0982 before you seek vision care.