 If you have questions about the vision care plan or would like to find a network
provider, you may visit www.spectera.com or call 1-800-638-3120.
Your Vision Care Plan Option
While Duke's health plans provide coverage for annual eye exams, Duke offers a
nationwide vision care plan to manage the cost of eyeglasses and contact lenses, as well
as eye examinations. This plan is a voluntary employee paid plan for active employees
and their eligible family members. The vision plan, administered by Spectera, one of
the largest vision care programs in the country, allows you to pay for vision benefits on
a pre-tax basis. You do not need to be enrolled in any of Duke's health plans to
participate in the vision plan.
Vision Plan Coverage
The vision care plan provides coverage for prescription lenses and frames, contact
lenses (in lieu of eyeglasses), and a complete annual eye exam for a low monthly
premium. Under the plan, you can visit an optometrist or ophthalmologist within the
Spectera network or you may choose to visit an out-of-network provider, which may
result in higher out-of-pocket costs. If you visit an out-of-network provider, you must
submit a claim to be reimbursed.
For further details about the vision plan, please refer to the
Vision Care Plan Chart and the
Vision Care Premiums. For more information,
please see the Vision Care Plan Description (PDF).
Note: The Duke Eye Center is not a participating member of the Spectera network.
Example — Cost Comparison of Duke's Vision Plan
Below is an at-a-glance comparison of how your out-of-pocket expense may
vary without vision care coverage and with coverage under the Duke Vision
Plan.
| Annual Eye Exam |
$65 |
$15 co-pay |
| Materials |
Not applicable |
$15 co-pay |
| Bifocal Lens |
$115 |
$0 |
| Standard Scratch-Resistant Coating |
$23 |
$0 |
| Frames (retail) |
$130 |
$0 |
| Total estimated out-of-pocket expenses you pay |
$333 |
$30 |
Anyone enrolled in one of Duke's health plans can continue to receive coverage
for an annual eye exam with the health plan's co-pay including out-of-network
physicians at the Duke Eye Center. If you enroll in the vision plan, Spectera will
reimburse you when you submit a claim for your health plan's vision
examination co-pay if you visit a provider outside of Spectera's network.
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