Solstice
Solstice Vision Coverage
Adding Solstice Vision coverage to your dental plan couldn’t be easier. You may purchase our vision coverage as a standalone benefit, or bundle dental and vision together for easy administration.
Solstice offers competitive coverage that allows members access to an extensive network of vision providers for continued visual health. Plans provide coverage for exams, lenses, contact lenses, and even LASIK. When it comes to vision benefits, the difference is clear!
Vision Plan Highlights
Members of the Solstice Vision Plan are eligible to receive benefits immediately upon the effective date of coverage with:
- No waiting periods
- No deductibles
- No claim forms
The member co-payments listed are guaranteed to be a 20-45% discount and are offered by a participating Solstice provider.
In-Network Coverage
Procedure | Standard/Premium/Custom | Frequency |
|---|---|---|
Eye Examination inclusive of Dilation (when professional indicated) | $10.00 | 12 Months |
Spectacle Lenses | $10.00
| 12 Months |
Frame – $150 allowance for a wide selection of frames. 20% savings on the amount over your allowance (1) | Included in prescription glasses | 24 Months |
Lenses – Single vision, lined bifocal, lined trifocal, and lenticular lenses. Polycarbonate lenses for dependant children (3) | Included in prescription glasses | 12 Months |
Lens enhancements – Progressive lenses: Standard/Premium/Custom – Avg. savings of 20-25% on other lens enhancements (4) | $35-$60/$50-$140 | 12 Months |
Contact Lens Evaluation, Fitting & Follow-Up Care | $10.00 | 12 Months |
Contacts (instead of glasses) – $150 allowance for contacts; copay does not apply. Contact lens exam (evaluation and fitting). Medically necessary covered in full after $20.00 copay. (1) (2) | Up to $60 can be applied to contact lens evaluation and fitting | 12 Months |
Extra Savings | ||
|---|---|---|
Glasses/Sunglasses – One year eyeglass breakage warranty included | ||
See full fee schedule for co-payments on lens enhancements and upgrades. | ||
Polycarbonate lenses are covered in full for dependent children, monocular patients, and patients with prescriptions +/-6.00 dilopters or greater. |
Out-of-Network Coverage | |||
|---|---|---|---|
Exam – Up to $40 | Single vision lenses – Up to $40 | Lined trifocal lenses – Up to $80 | Contacts – Up to $105 |
Frame – Up to $50 | Lined bifocal lenses – Up to $60 | Progressive lenses – Up to $60 | Lenticular lenses – Up to $100 |
Members must enroll in the plan for 12 months Members who terminate will not be allowed re-entry for 12 months from termination date.
(1) Additional discounts not applicable at Walmart or Sam’s Club locations. (2) Collection is available at most participating independent provider offices. Collection is subject to change. Collection is inclusive of select torics and multifocals. (3) Polycarbonate lenses are covered in full for dependent children, monocular patients, and patients with prescriptions +/-6.00 dilopters or greater. (4) Category includes digital free-form progressive lenses.