Davis Vision Frame Collection: Select fashion & designer frames covered in full 2 (value up to $160) Premier frames covered in full after $25 copay OR $130 retail allowance toward any frame from provider, plus 20% off balance 3. Vision Plan Coverage and Copays Coverage under the plan includes oversize lenses, blended invisible bifocals, certain fashion frames and sun tinting of plastic lenses, gradient tints, glass gray #3 prescription sunglasses, and initial lenses following cataract surgery. Materials carry.
Two rewards you can earn:
- Free PCP visits:
- To earn free PCP visits, select a PCP, and
- Complete the RealAge® test (an online health assessment that helps you determine the physical age of your body compared to your calendar age.)
- $5 reduction to your specialist copay:
- To receive a $5 reduction in your specialist copay, complete one of the recommended screenings listed in the State of Maryland Wellness Plan Activities (PDF).
The $5 reduction to your specialist copay will be activated after CareFirst receives a verified paid claim. The claim must meet certain requirements including having gone through the CareFirst claims review process and have been paid. CareFirst will update the member's account to show the $5 copay reduction has been granted. The entire process may take up to 45 days.
To access the above activities, simply log in to your Sharecare account, click Achieve, then Rewards. Next, click State of Maryland Wellness Program 2021. The sooner you complete your wellness plan activities, the sooner you start saving. If you require assistance with the wellness program or completing any activity, call Sharecare at 877-260-3253.
*Sharecare, Inc. is an independent company that provides health improvement management services to CareFirst members. Sharecare, Inc. does not provide CareFirst BlueCross BlueShield products or services and is solely responsible for the health improvement management services it provides.
Davis Vision, a national administrator of routine vision care programs, provides benefits under the Vision Plan. Each enrolled person may receive an eye exam, one pair of eyeglasses or contact lenses, and frames once each calendar year. There is a monthly rate for enrollment in the plan and there may be an additional copay when you receive services.
You can receive service from providers who participate with Davis Vision or from non-participating providers. The greatest cost savings are with participating providers.
Eligibility
All benefits-eligible faculty and staff are eligible to enroll in the Vision Plan. If you are enrolled in the plan at the time of your retirement, coverage continues during your retirement.
How and When to Enroll
Enroll online through Self Service > Benefits on Wolverine Access. There are three times when you may enroll or make changes:
- When you are a new hire or newly eligible for benefits
- During the annual open enrollment period, usually in October with changes effective Jan. 1
- When you experience a qualified family status change
Participating Providers
After enrollment, make an appointment with a Davis Vision participating provider when you need vision care services. You will pay a co-pay (if it applies) when you receive services, and the balance will be paid through the plan. You will not have to file any claim forms.
To access plan information exclusively for U-M participants and to find a Davis Vision provider in your area:
- Go to the Davis Vision website
- Enter 2032 in the Client Code field, and then click Submit to open the University of Michigan welcome page.
U-M's Kellogg Eye Center and the University Health Service Eye Care Clinic and Optical Shop are Davis Vision in-network providers.
Non-Participating Providers
If you receive services from a non-participating provider, you will be required to pay for the services at that time and then file a claim with Davis Vision for partial reimbursement. Before your appointment with a non-participating provider, download and print a Davis Vision Direct Reimbursement Claim Form, or request to have one sent to you by calling the SSC Contact Center. Present the claim form to the non-participating doctor or laboratory at the time services are provided so they can complete applicable sections of the claim form.
Keep a copy of the claim form and your receipt for your records. Mail the completed and signed claim form with your itemized receipt to:
Vision Care Processing Unit
P.O. Box 1525
Latham, NY 12110
A check will be sent to your home address to reimburse you up to the allowable expenses listed under Coverage and Copays.
No ID Card Needed
No ID Card is issued or needed for the Vision Plan. Davis Vision will send you a welcome kit and plan brochure when you enroll.
'Splitting' Your Vision Care Benefits
You may 'split' your benefits by receiving your eye examination, eyeglass lenses and frame or contact lenses on different dates or through different provider locations. Continuity of care will best be maintained when all available services are obtained at one time from the same provider. To maximize benefit values, Davis Vision recommends obtaining all services from a participating provider.
Monthly Rates
Eligible faculty, staff, and retirees pay the full monthly premium for enrollment in the Vision Plan. There is no university contribution.
What Does Davis Vision Plan Cover
2021 Rates
How Much Does Davis Vision Cover
- You only, $7.71
- You plus one dependent, $12.04
- You plus two or more dependents, $20.90
If you are paid biweekly, payroll deductions will be taken from your first two paychecks each month. If there are three pay dates in a month, no vision plan deductions will be taken from the third paycheck.
Davis Vision Company
If you are paid monthly, payroll deductions will be taken from each monthly paycheck.
COBRA 2021 Rates
Davis Vision Copays
COBRA participants pay the full premium plus 2 percent for administrative fees.
- You only, $7.86
- You plus one dependent, $12.28
- You plus two or more dependents, $21.32
Contact Davis Vision
What Does Davis Vision Insurance Cover
Call Davis Vision at 1-800-999-5431. You will hear a prompt to 'Enter the member's ID number.' Your Davis Vision member ID number is your UMID or your Social Security Number. If you don't know your member ID number, or wish to bypass the menu options, simply do nothing. The prompt will repeat two more times, and when you don't enter a member ID number after the third prompt your call will be automatically transferred to a Davis Vision representative.
Visit the Davis Vision website. Enter 2032 in the Client Code field, and then click Submit to open the University of Michigan welcome page.
Vision Plan Forms and Documents
Download and print a Davis Vision Direct Reimbursement Claim Form to request reimbursement if you go to a non-participating provider.