UPMC for Life plans include routine vision coverage for exams and eyewear. Members receive one routine vision exam plus a routine vision allowance every one or two years, depending on their plan. Members can see any provider they like, even if the provider is not in our vision provider network. Click here to find a participating vision provider.
The routine vision allowance applies toward the cost of eyewear, including lenses, frames, or contact lenses. Routine vision allowance amounts vary by plan. Click here to view and compare plans by county.
How does the routine vision benefit work?
- If routine vision services are received from a participating provider, the vision provider will bill the plan.
- If routine vision services are received from a non-participating provider, the member may have to pay the cost of the service at the time of the appointment. The member can submit a claim to the plan for reimbursement for up to the plan allowance. To receive a reimbursement form, call your Health Care Concierge team at the phone number on the back of your member ID card. You can also print one here.
The routine vision allowance does not apply to glasses after cataract surgery. It is excluded from the yearly deductible, if applicable, and does not count toward the annual out-of-pocket maximum.