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Health Plan Options
Important: Vision plan transition for ACA renewals
 
Important: Vision plan transition for ACA renewals
 
Beginning in May 2022, UPMC Health Plan will begin transitioning current ACA clients, upon renewal, from UPMC Vision Advantage to UPMC Vision Care. Your clients will continue to have high-quality coverage, competitive monthly premiums, and rich vision benefits.
 
UPMC Vision Care member benefits  
  • Access to a national network of more than 50,000 providers through National Vision Administrators (NVA®)
  • No frame towers or restrictions on purchases of everyday (dress) frames
  • Fixed pricing for lenses and lens add-ons
  • Many customizable lens options to meet members’ needs
  • Help estimating eyewear costs prior to purchase
  • Access to an in-network mail-order contact lens service through Contact Fill
  • Discounts on LASIK vision correction from the UPMC Eye Center, TLC Vision, QualSight, and LASIK Centers of America
  • Discounts on eyewear and contact lenses through the NVA EYEESSENTIAL™ Discount Plan after members use their benefits1
  • Award-winning customer service from UPMC Health Plan2
Plan advantages
  • Members can see a vision provider when their benefits renew (based on their renewal date). Some plans have a two-year eligibility stipulation, so members would have to wait two benefit periods to be eligible again for vision services. Others plans provide eligibility each benefit period.3
  • There are six plan designs with copay and no copay options on exams.
  • Members can receive care from a nonparticipating provider. The coverage includes a fixed reimbursement for exams, frames, lenses (single, bifocal, and trifocal), contact lens fittings, and contact lens materials. There is no coverage for lens add-ons such as tint or anti-reflective coating.
Questions?
To learn more about this plan, please contact your account manager.
 
1 Provider participation may vary; not all providers in the UPMC Vision Care network accept the NVA EYEESSENTIAL Discount Plan.
 
2 UPMC Health Plan earned one of 10 coveted 2022 Grand Stevie® Awards for its exemplary customer service. Grand Stevie trophies are awarded to companies that submit an exceptional body of work for the Stevie Awards competition. The Health Plan also earned four Gold Stevie Awards for its sales and customer service excellence, including Best Back-Office Customer Service Team and Sales Support Team of the Year.
 
3 This information is not a complete description of benefits. Members should contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on Jan. 1 of each year.