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Employee Benefits

Vision Insurance

MCPASD offers vision insurance through DeltaVision of Wisconsin in partnership with EyeMed Network with a single or family level of coverage. Our plan is a materials only plan. Annual eye exams are covered through Dean Health Plan.

Eligibility and Enrollment

Employees are eligible for vision insurance if they

  • Currently qualify as ACA Full Time under the measurement method selected by MCPASD (ALE)

  • Are currently expected to work 30 hours per week or more

Dependent Eligiblity

  • Legal Spouse

  • Legal Dependents up to age 26


To enroll, please complete a Benefit Enrollment Form and return it to a Benefits Specialist


Vision insurance is offered 

  • Within 30 days of hire, if hired into a benefit eligible position

  • Within 30 days of a change in assignment to a benefit eligible position or increase in hours to meet eligibility

  • Within 30 days of a HIPAA qualifying life event (See Life Changing Events page for more information)

  • Annually during open enrollment in fall for coverage beginning on January 1 

Coverage is effective first of the month following the start/change/life event date. 

Rates

$7.68/month - Employee only
$19.12/month - Family coverage

Plan Information and Resources

Our vision plan does not cover annual exams. Dean Health Plan covers an eye exam if in network with a specialty visit copay. 


In-Network Vision Provider Benefit

  • $200 allowance to use on glasses OR contacts every 12 months
    Glasses: $200 plus 20% any additional balance
    Contacts: $200 plus 15% for conventional,
    $200 for disposable;
    PAID IN FULL when medically necessary and with authorization from vision doctor when some conditions are present - contact plan for more information

  • Additional Discounts

    • 40% off complete SECOND pair of glasses
      20% off non-covered items (except safety glasses)
      15% off LASIK or PRK

Non-Network Provider Benefit

  • $100 allowance to use on glasses
    Contact Lens Allowances
    $160 Conventional
    $160 Disposable
    $200 - Medically Necessary (must have authorization from vision doctor when some conditions are present - contact plan for more information


FAST, EASY, MOBILE!

Visit eyemed.com or the mobile app which provides all-encompassing, user-friendly tools:

  • Provider Network: Access

  • Group Number: 41663

  • Locate a provider
    Online exam scheduling (at participating providers)
    View ID card
    View benefits

  • Contact EyeMed 1-844-848-7090

  • Find answers to common questions


DeltaVision Plan Handbook

Summary of Benefits

DeltaVision of Wisconsin

EyeMed Vision Care Select Network

PO Box 828

Stevens Point, WI 54481

Click here to return to Middleton-Cross Plains Area School District Website

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