Vision Insurance
Offering low or no out-of-pocket costs for eye exams, eyeglasses and contact lenses when services are rendered by a participating provider. If using a non-participating provider or supplier, reimbursement up to the plan allowance. Claim forms required.
Benefits available once every calendar year.
PLEASE NOTE: Benefits for this plan are based on a
calendar year basis.
Forms and Documents
Brochure
A Guide to your Vision Benefits
Application
Application / Change Form
Letter & Rates
Dominion Dental EyeMed Rate Letter
Find a Provider