Vision Benefits

Xavier offers vision coverage through Humana. The Humana vision plan helps pay for routine eye exams and prescription glasses and/or contact lenses.

Coverage Overview


In-Network Service	Benefit
Exam (1x per 12 months) With Dilation Retinal Imaging Contact Lens Exam with Standard Fit	$20 Copay Up to $39 Copay Up to $55 Copay
Frames (1x per 24 months)	$130 Allowance plus 20% off balance over $130
Standard Plastic Lenses (1x per 12 months) UV Coating Tint Polycarbonate Photochromatic	$20 Copay $15 $15 $40 $75
Contact Lenses (in lieu of glasses)	$150 Allowance plus 15% off balance over $150
Laser Vision Correction (in-network facilities only)	15% off standard pricing or 5% off promotional pricing

The plan includes the purchase of either glasses or contact lenses as a covered benefit but not both within the same plan year.

For help finding a vision provider, follow these instructions.

Humana Contact Information
Phone: 877-398-2980 (Member/Patient Services)
Phone: 877-398-2682 (Plan information and verification)

Group Number: 1007800