2022 Open Enrollment

Medical Benefits

For the Classic and Premier plans, there will be changes to the annual deductibles and certain copays, including emergency room, advanced imaging, and outpatient surgery.

Here’s an overview of the 2022 plan changes for each University medical plan:

Classic Plan

  SmartCare Non-SmartCare
Annual Deductible: Individual $800 $1,350
Annual Deductible: Family $1,600 $2,700
Emergency Room 25% after deductible is met and $350 copay (waived if admitted) 25% after deductible is met and $350 copay (waived if admitted)
Advanced Imaging* 20% after deductible is met and $75 copay 25% after deductible is met and $150 copay
Outpatient Surgery 20% after deductible 25% after deductible is met and $160 copay

* Prior authorization required.

Premier Plan

  SmartCare Non-SmartCare
Annual Deductible: Individual $400 $800
Annual Deductible: Family $800 $1,600
Emergency Room 20% after deductible is met and $350 copay (waived if admitted) 20% after deductible is met and $350 copay (waived if admitted)
Advanced Imaging* 15% after deductible is met and $50 copay 20% after deductible is met and $100 copay
Outpatient Surgery 15% after deductible 20% after deductible is met and $80 copay
* Prior authorization required.

Vision Benefits

Starting January 1, 2022, your vision benefits will be administered by EyeMed. It’s important that you confirm your current vision providers are in the EyeMed Insight network. If you go out-of-network for care, you may pay more. There will also be changes to the plan design for 2022, including new copays, updated lens allowances, and an enhanced network of providers.

The table below shows what you will pay for in-network care. For a complete coverage overview, review the Basic Plan Benefit Summary and the Enhanced Plan Benefit Summary.

  Basic Plan Enhanced Plan
Routine Eye Exam at PLUS Provider (once per year) $0 $0
Routine Eye Exam (once per year) $10 $10
Contact Lens Fitting (standard) (once per year) $25 $25
Frame at PLUS Provider $175 allowance, then 20% off balance; once every other year $200 allowance, then 20% off balance; once per year
Frame $125 allowance, then 20% off balance; once every other year $150 allowance, then 20% off balance; once per year
Lenses (one pair per year)
  Basic Plan Enhanced Plan
Single Vision $25 $20
Bifocal $25 $20
Trifocal $25 $20
Lenticular $25 $20
Progressive (standard) $80 $20
Anti-Scratch Coating (standard) $15 $0
Ultraviolet Coating $15 $0
Contact Lenses (in lieu of eyeglass lenses)
  Basic Plan Enhanced Plan
Contacts (conventional) $120 allowance, then 15% off balance $150 allowance, then 15% off balance
Contacts (disposable) $120 allowance $150 allowance
Contacts (medically necessary) $0 $0
Finding a Provider

To find a provider, go to eyemed.com and select Find an eye doctor. Then, in the Network drop-down box, choose the Insight Network. You can search by location or doctor name.

For assistance on the go, download the EyeMed Members App. For assistance with LASIK, call 800.988.4221.