2026 ORI Results Benefits Enrollment Guide

Vision Insurance Benefits DY or iuvri na gb itloi t ywtoor kd ,or ae lal doifntgh ae sneeawc st i va irttiiecsl e, t ahnodu gwha, tdcehpi ne ng dTsVoanr ye oaul lr avci tsiivoint i ea sn dy oeuy el i hk ee layl tphe. rVfiosri omn ei nv es ur yr adnacye. cOaRnI hReel ps uyl tosu' vmi saiionnt aiinnsyuorua nr cvei sei onnt i talse swyeol lua st odes pt eeccti fviac rei oyue schaer ea lbt he nperfoibt sl.e mO usr. p o l i c y c o v e r s r o u t i n e e y e eexyaemglassasneds aontdhecronptraoccteldeunrseess,. and provides specified dollar amounts or discounts for the purchase of TfohrethfoellJoawnuinagrych1art below highlights some of the details included in the vision plan offered through UHC st , 202 6 – December 31 st , 202 6 plan year.

In-Network You pay

Out-of-Network Reimbursement

Type of service

Annual Eye Exam Lenses – Single Vision Lenses – Bifocal Vision Lenses – Trifocal Vision

$15 copay

Up to $40

Up to $80

$30 copay

Up to $80

$30 copay

$30 copay

Up to $80

$130 Frame Allowance

Frames

Up to $45

Elective Contact Lenses Benefit Frequency Exam

Up to $105

$105 Allowance

1 x per 12 months 1 x per 12 months 1 x per 12 months

Lenses Frames

Vision Provider Directory Yproouvcidanerlsogin to your UHC account or use the link below to search UHC's directory of In-Network · https://www.myuhcvision.com/Public/AdvancedProviderSearch?CustomSearch=true#/search · Enter your search criteria

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