Vision Insurance

Overview

This insurance provides benefits for eye exams and materials (contacts and glasses). For plan details, see the Vision Summary in the Forms & Resources section below.

In 2025, vision insurance was offered through DeltaVision (in partnership with EyeMed). In 2026, vision insurance carrier is MetLife.

Eligibility

You must meet the following requirements to be eligible for vision insurance:

  • Eligible for State Group Health Insurance; and
  • Are not receiving a Wisconsin Retirement System (WRS) annuity.

For information on who you can cover on this plan, review the Dependent Eligibility Chart (UWS 25) pdf .

Coverage

Schedule of Benefits In-Network Out-of-Network Reimbursement
Annual Exam with Dilation $15 copay per person Up to $45 per person
Retinal Imaging $39 copay per person Applied to exam allowance
Frames Benefits $150 allowance per person Up to $70 per person
Benefit Frequency

Lenses

Frames

  

12 months

24 months adults, 12 months children

  

12 months

24 months adults, 12 months children
Lenses

Single vision

Bifocal vision

Trifocal

  

$25 copay per person

$25 copay per person

$25 copay per person

  

Up to $30 per person

Up to $50 per person

Up to $65 per person
Progressive Lenses Standard: $25 copay

Premium, Ultra, Ultimate:

You pay up to $70, $80, or $175 copay

 Up to $50 per person
Conventional and Disposable Contacts $150 allowance per person Up to $105 per person
Contact Lens Fit and Follow-up Visit Standard: $30 copay per person

Specialty: $30 copay per person then $50 allowance

 Applied to contact lens allowance

Provider Network

For lower out-of-pocket costs, see an in-network vision provider. In-network vision providers will submit claims to the vision insurance administrator on your behalf.

There are out-of-network benefits for the vision insurance; however, your out-of-pocket cost will likely be higher. In addition, you will need to submit your claims to the vision insurance administrator. Out-of-network providers typically will not submit claims on your behalf.

Not sure if your vision provider is in-network? To find out, reach out to the appropriate Plan Administrator by using the contact information provided in the Plan Administrator section below.

Enrollment

You have 30 days from your date of employment or newly benefits-eligible position to enroll in vision insurance. Coverage will begin on the first of the month on or following your eligibility date. If you do not enroll during the initial 30-day enrollment period, your next opportunity to do so will be during the enrollment period each fall for coverage effective the following January 1 or if you have a qualifying life event. See Life Events for more information.

Note: Once you are enrolled in vision insurance, you must remain enrolled for the entire calendar year.

ID Cards

If you enroll in vision insurance, you will not receive an ID card from MetLife, the vision insurance carrier. If your vision provider is in the MetLife Superior network, your vision provider will be able to verify your vision insurance coverage when you provide them with your full legal name and date of birth. Otherwise, you can print a generic vision insurance ID card to take with you to your vision appointment.

Benefit Premiums

For Vision Insurance premiums review the Benefit Premiums web page.

Forms & Resources

Plan Administrator

Every effort has been made to ensure this information is current and correct. Information on this page does not guarantee enrollment, benefits and/or the ability to make changes to your benefits.

Updated: 05/29/2024