Providing benefits for state employees and retirees

Employee Group Insurance Benefits

Vision Plan Snapshot

Your vision coverage is included in your medical coverage choice. For details about the vision plan, waiting periods, limitations, and how the plan works, please see the Benefits Summary & Plan Contracts.

Plan Feature Benefit Documents
FY2014 Limitations Traditional PPO High Deductible
Eye Exam $50 one (1) exam
every 12 months

Benefits
Summary



Plan
Contract

Benefits
Summary



Plan
Contract

Benefits
Summary



Plan
Contract
Frame up to $50 one (1) frame every 24 months
Single Vision lenses, pair up to $50 one (1) pair every 12 months
Bifocal lenses, pair up to $80
Trifocal lenses, pair up to $95
Lenticular lenses, pair up to $125
Elective Contacts, pair up to $70
Medically-Necessary Contacts, pair up to $125


QUESTIONS?
Phone:
Fax:
Email:
(208) 332-1860 or (800) 531-0597
(208) 332-1888
ogi@adm.idaho.gov


Snapshots

In order to provide quick and easy plan data, some of the information provided on this website is abbreviated. Please consult the Benefits Summary & Plan Contracts for complete documentation.

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