MCSD offers vision insurance through Superior Vision to benefit-eligible employees. The costs per pay period for coverage are listed in the premium table below and a brief summary of benefits is provided on the following page. For more detailed information about the vision plan, including exclusions and stipulations, please refer to the summary plan document or contact Superior’s customer service.
The vision plan offers employee and covered dependent(s) coverage for routine eye care, including eye exams, eyeglasses (lenses and frames) or contact lenses. To schedule an appointment, covered employee and dependent(s) can select any network provider whoparticipates in the SuperiorVision National network. At the time of service, routine vision examinations and basic optical needs will be covered as shown on the plan’s schedule of benefits. Cosmetic services and upgrades will be additional if chosen at the time of the appointment.
Employee and covered dependent(s) may choose to receive services from vision providers who do not participate in the Superior Vision National network. When going out of network, the provider will require payment at the time of appointment. Superior Vision will then reimburse based on the plan’s out-of- network reimbursement schedule upon receipt of proof of services rendered.
Calendar Year Deductible
There is no calendar year deductible.
Calendar Year Out-of-Pocket Maximum
There is no out-of-pocket maximum. However, there are benefit reimbursement maximums for certain services.
Please Note: Member options, such as LASIK, UV coating, progressive lenses, etc. are not covered in full, but may be available at a discount In-Network. Check Superior's benefit summary listed below under "Resources"