University of Illinois Logo University of Illinois Urbana-Champaign University of Illinois Chicago University of Illinois Springfield
Home Search Help
N E S S I E   Home >


Contacts
HR Forms
Human Resources
  Urbana
  Chicago
  Springfield
  UA ER/HR
EEO


Frequently Asked Questions About Vision Insurance

What does my vision plan cover?
How do I find a list of participating doctors covered by EyeMed?
What happens to my vision insurance in the event of a layoff, illness, or other types of leave?
What happens to my vision insurance during a period of personal leave without pay?
What happens to my vision insurance when I retire?
What happens to my vision insurance when I resign or my appointment ends?

Dependent Coverage
We will be having/adopting a child soon. How do I add this child to my health, dental, and life insurance coverage?
When can my dependents be added to my health, dental, and vision plans?
How long can my child be insured as my dependent?


What does my vision plan cover?
EyeMed provides benefits when you receive services through a participating provider. Some services may require a co-payment at the time of your visit.

Eye Exams: An annual eye exam is covered with a $25 co-pay and includes the necessary tests to ensure proper eyesight and to screen for, or manage, potential vision or eye-related medical problems.
Lenses: If glasses are prescribed, single vision, bifocal, or trifocal lenses that are necessary for your visual welfare, are covered with a $25 co-pay. Other types of lenses may be covered with an additional co-pay or charge. Please call EyeMed to verify the cost if you have more complex lens requirements.
Frames: EyeMed covers a wide selection of frames. Frames require a $25 copay, plus you pay 80% of the balance for frames that exceed the plan allowance.
Contact Lenses: EyeMed includes coverage for contact lenses, please see EyeMed on the web.

How do I find a list of participating doctors covered by EyeMed?
You may look up providers in your area using the EyeMed website. Select the Member Access tab and login, (on your first visit to the website, you will need to register.)

What happens to my vision insurance in the event of a layoff, illness, or other types of leave?
Your vision insurance may be continued during seasonal layoff, illness, family and medical or educational leaves without pay as long as your health insurance is also continued.

What happens to my vision insurance during a period of personal leave without pay?
Members on personal leave without pay may continue coverage for up to 24 months if enrolled in one of the health insurance plans. Employees on personal leave will receive monthly premium bills from the UPB Benefits Services office.

What happens to my vision insurance when I retire?
When you retire and begin receiving a monthly annuity from the State Universities Retirement System (SURS), your State vision insurance records are transferred to the retirement system. Your cost of insurance will depend upon your date of retirement and your years of service. The State contribution will be based on your years of service at a rate of 5% per year of service. For example, if you retire with 10 years of service, you will receive a 50% contribution toward the cost of your coverage. If you retire with 20 or more years of service, you will qualify for 100% of the employer contribution. Premiums to be paid by the retiree will be deducted from the monthly retirement annuity check.

What happens to my vision insurance when I resign or my appointment ends?
Persons leaving employment at the University are entitled to continue the vision coverage for up to 18 months under a Federal law referred to as COBRA, if continuing the health coverage. Cost of coverage is included in the health insurance premium. There is no State contribution toward COBRA coverage. Notice of the COBRA Continuation Option is sent to employees by Central Management Services soon after their resignation or appointment ending date.


Dependent Coverage

All employees electing dependent coverage must provide supporting documentation of dependent status (i.e. marriage certificate, birth certificate, etc.). Please see Dependent Documentation Requirements and Deadlines.

We will be having/adopting a child soon. How do I add this child to my health, dental, and life insurance coverage?
You may add a dependent to your health, dental, and life insurance within 60 days of the date of birth or adoption. Benefit coverage changes are effective the latest day of the date the request for change was signed, or the date the event occurred. Coverage for newborns and adopted newborns may be retroactive to the date of birth if the coverage request was made within 60 days of birth. You may add a dependent through the State Plan Changes selection in the Benefits section of NESSIE.

When can my dependents be added to my health, dental, and vision plans?
New employees may add a spouse and/or dependents within the first 30 calendar days of employment with guaranteed acceptance into the plans. Thereafter, the guaranteed enrollment periods are the annual Benefit Choice period in May with changes effective the following July 1, or within 60 days of a qualifying event. Examples of a qualifying event include: birth, adoption, change in marital status, death of spouse or dependent, and/or change in spouse employment status. All employees electing dependent coverage must provide supporting documentation of dependent status (i.e. marriage certificate, birth certificate, etc.).

How long can my child be insured as my dependent?
Children may remain insured as dependents up to their twenty-sixth birthday. Certification of a child's status as a "Disabled" or "Other" is required annually. Certification of a child's status as a "Veteran Adult Child" is required annually when the child is age 26 or older. Failure to return the certification form to the campus UPB Benefits Services office will result in termination of the dependent's health, dental, and vision coverage.

Children who cease to be eligible as dependents may continue coverage on their own by paying the full cost for up to 36 months under a Federal law referred to as COBRA. It is the member's responsibility to notify the campus UPB Benefits Services office if the dependent ceases to be eligible for benefits.

 


Maintained by University Human Resources | Contact Information | Last Update: 03-October-2016 | ID: 82