Plan Name |
Telephone & Website |
You Pay: |
Calendar Year Maximum |
|||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Class A |
Class B |
Class C |
Class D |
Deductible |
||||||||||
Aetna |
800-537-9384 |
0% |
40% |
60% |
70% |
$0 |
$1,500 lifetime max per person (orthodontic services only) |
|||||||
www.aetnafeds.com |
$1,500 lifetime max per person (orthodontic services only) |
|||||||||||||
GEHA Standard |
877-434-2336 |
0% |
45% |
65% |
70% |
$0 |
||||||||
GEHA High |
www.gehadental.com |
0% |
20% |
50% |
70% |
$1,500 lifetime max per person (orthodontic services only) |
||||||||
MetLife Standard |
888-865-6854 |
0% |
45% |
65% |
50% |
$0 |
$1,200 standard option annual non-orthodontic maximum per person |
|||||||
MetLife High |
0% |
30% |
50% |
50% |
$3,000 high option non-orthodontic maximum per person |
|||||||||
United Concordia |
877-394-8224 |
0% |
20% |
50% |
50% |
$75 self/$150 self & family/ |
$1,200 per year per person |
Plan Name |
Telephone & Website |
You Pay: |
Calendar Year Maximum |
|||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Class A |
Class B |
Class C |
Class D |
Deductible |
||||||||||
CompBenefits |
877-692-2468 |
0% |
40% |
54% |
70% |
$0 |
No maximum |
|||||||
GHI |
212-501-4444 |
0% |
0% |
0% |
0% |
$50 self/$150 self & family/ |
$1,250 per year per person |
|||||||
Triple S |
787-774-6060 |
0% |
30% |
60%/30% |
50% |
$0 |
No maximum |
Please note that the rating areas for each Carrier are not the same for all plans. Please see the specific plan brochure or call the plans customer service number to determine your specific region and premium.
Plan Name |
Option |
Rating Region |
Biweekly Premium |
Monthly Premium |
|||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Self Only |
Self plus One |
Self & Family |
Self Only |
Self plus One |
Self & Family |
||||||||||||
Aetna PPO |
High (In and Out-of- Network benefits) |
1 |
$12.15 |
$24.31 |
$36.46 |
$26.33 |
$52.67 |
$79.00 |
|||||||||
2 |
$13.36 |
$26.72 |
$40.09 |
$28.95 |
$57.89 |
$86.86 |
|||||||||||
3 |
$14.20 |
$28.42 |
$42.62 |
$30.77 |
$61.58 |
$92.34 |
|||||||||||
4 |
$15.66 |
$31.31 |
$46.98 |
$33.93 |
$67.84 |
$101.79 |
|||||||||||
5 |
$16.99 |
$33.97 |
$50.96 |
$36.81 |
$73.60 |
$110.41 |
|||||||||||
GEHA PPO |
Standard (Out-of-Network benefits vary) |
1 |
$9.36 |
$18.73 |
$28.09 |
$20.28 |
$40.58 |
$60.86 |
|||||||||
2 |
$10.26 |
$20.51 |
$30.77 |
$22.23 |
$44.44 |
$66.67 |
|||||||||||
3 |
$11.61 |
$23.21 |
$34.82 |
$25.16 |
$50.29 |
$75.44 |
|||||||||||
4 |
$12.51 |
$25.02 |
$37.53 |
$27.11 |
$54.21 |
$81.32 |
|||||||||||
5 |
$13.86 |
$27.72 |
$41.58 |
$30.03 |
$60.06 |
$90.09 |
|||||||||||
GEHA PPO |
High (In and Out-of- Network benefits) |
1 |
$12.74 |
$25.49 |
$38.23 |
$27.60 |
$55.23 |
$82.83 |
|||||||||
2 |
$13.98 |
$27.96 |
$41.94 |
$30.29 |
$60.58 |
$90.87 |
|||||||||||
3 |
$15.83 |
$31.66 |
$47.48 |
$34.30 |
$68.60 |
$102.87 |
|||||||||||
4 |
$17.07 |
$34.13 |
$51.20 |
$36.99 |
$73.95 |
$110.93 |
|||||||||||
5 |
$18.92 |
$37.85 |
$56.77 |
$40.99 |
$82.01 |
$123.00 |
|||||||||||
MetLife PPO |
Standard (Out-of-Network benefits vary) |
1 |
$7.29 |
$14.58 |
$21.88 |
$15.80 |
$31.59 |
$47.41 |
|||||||||
2 |
$7.87 |
$15.74 |
$23.61 |
$17.05 |
$34.10 |
$51.16 |
|||||||||||
3 |
$8.69 |
$17.39 |
$26.08 |
$18.83 |
$37.68 |
$56.51 |
|||||||||||
4 |
$9.64 |
$19.27 |
$28.91 |
$20.89 |
$41.75 |
$62.64 |
|||||||||||
5 |
$10.57 |
$21.14 |
$31.71 |
$22.90 |
$45.80 |
$68.71 |
|||||||||||
MetLife PPO |
High (In and Out-of- Network benefits) |
1 |
$11.97 |
$23.94 |
$35.91 |
$25.94 |
$51.87 |
$77.81 |
|||||||||
2 |
$13.38 |
$26.76 |
$40.15 |
$28.99 |
$57.98 |
$86.99 |
|||||||||||
3 |
$14.55 |
$29.10 |
$43.65 |
$31.53 |
$63.05 |
$94.58 |
|||||||||||
4 |
$15.73 |
$31.45 |
$47.18 |
$34.08 |
$68.14 |
$102.22 |
|||||||||||
5 |
$17.59 |
$35.19 |
$52.78 |
$38.11 |
$76.25 |
$114.36 |
|||||||||||
United Concordia PPO |
High (In-Network benefits only except for emergency services) |
1 |
$11.58 |
$23.14 |
$34.72 |
$25.09 |
$50.14 |
$75.23 |
|||||||||
2 |
$13.25 |
$26.50 |
$29.75 |
$28.71 |
$57.42 |
$26.13 |
|||||||||||
3 |
$14.38 |
$28.73 |
$43.11 |
$31.16 |
$62.25 |
$93.41 |
|||||||||||
4 |
$15.49 |
$30.98 |
$46.47 |
$33.56 |
$67.12 |
$100.69 |
|||||||||||
5 |
$17.18 |
$34.34 |
$51.50 |
$37.22 |
$74.40 |
$111.58 |
Please note that the rating areas for each Carrier are not the same for all plans. Please see the specific plan brochure or call the plans customer service number to determine your specific region and premium.
Plan Name |
Option |
Rating Region |
Biweekly Premium |
Monthly Premium |
|||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Self Only |
Self plus One |
Self & Family |
Self Only |
Self plus One |
Self & Family |
||||||||||||
CompBenefits HMO |
High |
1 |
$9.99 |
$19.98 |
$29.97 |
$21.65 |
$43.29 |
$64.94 |
|||||||||
2 |
$10.25 |
$20.49 |
$30.74 |
$22.21 |
$44.40 |
$66.60 |
|||||||||||
3 |
$10.81 |
$21.63 |
$32.44 |
$23.42 |
$46.87 |
$70.29 |
|||||||||||
4 |
$14.04 |
$28.08 |
$42.11 |
$30.42 |
$60.84 |
$91.24 |
|||||||||||
5 |
$14.79 |
$29.58 |
$44.37 |
$32.05 |
$64.09 |
$96.14 |
|||||||||||
GHI PPO |
High |
1 |
$16.44 |
$32.88 |
$49.31 |
$35.62 |
$71.24 |
$106.84 |
|||||||||
CompBenefits HMO |
High |
1 |
$4.14 |
$8.28 |
$10.93 |
$8.97 |
$17.94 |
$23.68 |
Please note that international premium rates are not regionally based.
Biweekly Premium |
Monthly Premium |
||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Self Only |
Self plus One |
Self & Family |
Self Only |
Self plus One |
Self & Family |
||||||||
Aetna |
$18.14 |
$36.29 |
$54.43 |
$39.30 |
$78.63 |
$117.93 |
|||||||
GEHA Standard |
$9.36 |
$18.73 |
$28.09 |
$20.28 |
$40.58 |
$60.86 |
|||||||
GEHA High |
$12.74 |
$25.49 |
$38.23 |
$27.60 |
$55.23 |
$82.83 |
|||||||
MetLife Standard |
$10.57 |
$21.14 |
$31.71 |
$22.90 |
$45.80 |
$68.71 |
|||||||
MetLife High |
$17.59 |
$35.19 |
$52.78 |
$38.11 |
$76.25 |
$114.36 |
|||||||
United Concordia |
$17.18 |
$34.34 |
$51.50 |
$37.22 |
$74.40 |
$111.58 |
The table below highlights the selected features of available vision plans. Always consult plan brochures before making a decision. The chart does not show all of your possible out-of-pocket costs.
Vision plans will provide comprehensive eye examinations and coverage for lenses, frames and contact lenses. There are no deductibles or waiting periods. Other benefits such as discounts on lasik surgery may also be available.
Plan Name |
Telephone & Website |
Plan Option |
Biweekly Premium |
Monthly Premium |
|||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Self Only |
Self plus One |
Self & Family |
Self Only |
Self plus One |
Self & Family |
||||||||||||
Blue Cross Blue Shield |
888-550-2583 |
Standard Option |
$3.97 |
$7.94 |
$11.92 |
$8.60 |
$17.20 |
$25.83 |
|||||||||
fepblue.org |
High Option |
$5.01 |
$10.01 |
$15.02 |
$10.86 |
$21.69 |
$32.54 |
||||||||||
Spectera |
866-375-3263 |
Standard Option |
$2.63 |
$5.13 |
$7.64 |
$5.70 |
$11.12 |
$16.55 |
|||||||||
spectera.com/myfedvision |
High Option |
$3.41 |
$6.65 |
$9.91 |
$7.39 |
$14.41 |
$21.47 |
||||||||||
VSP |
800-807-0764 |
Standard Option |
$3.82 |
$7.65 |
$11.47 |
$8.28 |
$16.58 |
$24.85 |
|||||||||
choosevsp.com |
High Option |
$5.40 |
$10.81 |
$16.21 |
$11.70 |
$23.42 |
$35.12 |
Plan Name |
Frames |
Lenses |
Exams |
Copayments |
Additional Features |
||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Blue Cross |
Every 24 months |
Every 12 months |
Every 12 months |
$0 |
Breakage warranty; Laser vision correction discount; low vision coverage. |
||||||
Every 12 months |
Every 12 months |
Every 12 months |
$0 |
$130 plus 20% off remaining cost frame allowance for standard and high options. |
|||||||
Spectera |
Every 12 months |
Every 12 months |
Every 12 months |
$10 exam/$25 material |
Low vision; prosthetic eye; vision therapy; Laser vision correction discount. |
||||||
Every 12 months |
Every 12 months |
Every 12 months |
$10 exam/$10 material |
$130 frame allowance for standard and high options. |
|||||||
VSP |
Every 12 months |
Every 12 months |
Every 12 months |
$10 exam/$20 material |
Prescription eyewear, choose glasses or contacts; Laser vision correction discount. |
||||||
Every 12 months |
Every 12 months |
Every 12 months |
$10 exam and glasses |
$120 frame allowance under standard option. $150 frame allowance under high option. |