Human Resources

UNITEDHEALTHCARE Vision Coverage

Vision coverage is underwritten by UNITED HEALTHCARE VISION  www.myuhcspecialtybenefits.com . 

Employees are eligible to enroll in the voluntary vision coverage plan through UNITEDHEALTHCARE VISION during the first 31 days of their employment date, or during the open enrollment period. 

The plan utilizes a network of providers and requires that employees enroll for a one-year lock-in period.  During this lock-in-period, covered members can obtain one eye exam per 12 months, one set of lenses per 12 months, and one set of frames per 24 months.  Single coverage is available for $10.58 per month and family coverage is available for $24.42 per month.  The plan also provides a reimbursement schedule for services obtained through a non-network provider.  The option of paying vision premiums on a pre-tax basis (reduction) that may lower taxable income and increase take home pay is available. 

The open enrollment period is from November 1 to November 30.

To enroll in the vision plan, applications must be received in Staff Benefits within 31 days of employment or during open enrollment.  If you  enroll in the coverage, you are locked into the plan for at least one year. Open enrollment is during the month of November for the following January effective date.   Only people who have been enrolled in the plan for at least one year will be able to cancel their coverage in the November open enrollment period.     

If you elect to cancel or change the vision coverage with UnitedHealthcare Vision you must complete and return a "Vision Plan Enrollment Form" to Staff Benefits no later than November 30th.  Specific questions regarding the vision coverage should be directed to UnitedHealthcare Vision at 1-800-638-3120. You may contact the Staff Benefits Office, extension 8082, with any questions regarding deductions or other related issues.

For new enrollment in the UnitedHealthcare Vision Coverage, please complete  and return the following forms:

 UnitedHealthcare-Enrollment Form  and  Vision Salary Conversion Form

To make changes to existing membership or cancel existing coverage, please complete the following form:

UnitedHealthcare Enrollment Form

For additional information and general information please see below:

bullet item  UnitedHealthcare-Questions & Answers
bullet item UnitedHealthcare Vision Coverage Information
bullet item Letter to members and general information

Vision Claim Form - for out of network providers.

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