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FAQs of Vision Insurance Plans

How and Where Does One Obtain Vision Insurance?

Individuals can buy a vision benefit plan. Vision insurance plans may be available through your place of employment, school district or social plans like Medicare or Medicaid.

Indemnity health insurance is traditional insurance which allows policyholders to access medical providers of their choice. Vision insurance is often a value-added benefit included in indemnity health insurance plans, health maintenance organization (HMO) plans and plans offered by preferred provider organizations (PPOs).

An HMO health plan requires members to access health care only from HMO providers.  HMOs provide health care services to plan members at discounted rates. HMOs include a range of healthcare professionals – doctors, laboratories and hospitals.

A PPO is a network of healthcare professionals who provide healthcare services to members at discounted rates. Plan members may use out-of-network providers, but they usually will pay more for the services rendered.

What Types of Vision Insurance Plans Are Available?

Vision insurance comes in two forms: a discount vision plan and a vision benefits package.

Discount Vision Plan - Eye care at fixed discounted rates after an annual premium or membership fee and a deductible are paid.

Vision Benefits Package - A vision benefits package usually requires an annual premium or membership fee, a yearly deductible for each enrolled member and a co-pay each time a member accesses a service.

Discount vision plans and vision benefits packages are custom-designed to meet the different requirements of a wide range of customers, such as unions, big, mid-size, and small companies, and school districts.

What is included in vision insurance?

Standard Vision insurance usually includes the following services and products:

  • LASIK and PRK vision correction at discounted rates
  • Annual eye examinations
  • Contact lenses
  • Eyeglass frames
  • Eyeglass lenses

Usually, services acquired from network providers are more affordable than those provided by out-of-network providers.

Are there payment options?

If your employer makes group vision insurance available, you pay for it through payroll deductions or flexible spending accounts.

A flexible spending account, sometimes called a cafeteria plan, allows an employee to use pre-tax dollars to purchase selected health benefits such as vision insurance. This plan saves you money because you receive the full benefit of income set aside for health costs, making it not subject to or reduced by taxation.

If you are self-employed or your employer does not offer vision insurance, you can expect to be billed monthly or annually.