Vision Care Benefits

When you enroll in any Con Edison Retiree Medical/Hospital plan, you will automatically receive vision care benefits at no additional cost. The vision plan has both in- and out-of-network coverage. The plan is administered by CPS Optical, and all questions and claims should be directed to them.

Search for an in-network provider

Summary of Retiree Vision Benefits

• Comprehensive eye examination, including testing for glaucoma, every 12 months
• Standard single vision plastic lenses every 24 months, or after 12 months if prescription changes
• Frames with a retail value up to $175 every 24 months

Additional lens coverages are available to you at no cost, once in a 24-month period or once in a 12-month period if prescription changes:

• Bifocals and Trifocals
• Prescription sunglasses
• Standard progressive lenses
• Conventional daily-wear or extended-wear contacts
• 30-day supply of daily disposable contacts
• 18-week supply of two-week disposable contacts
• Cosmetic tinting, ultraviolet and scratch resistant coatings, and oversized lenses

Optional services are also available to you at the following co-payment amounts, once in a 24month period and once in a 12-month period if prescription changes:

• Polycarbonate single vision lenses - $25 copay
• Polycarbonate multifocal vision lenses - $30 copay
• Standard anti-reflective coating - $35 copay
• Hi-index single vision 1.60 index lenses - $50 copay
• Hi-index multifocal 1.60 index lenses - $55 copay
• Polarized single vision lenses - $70 copay
• Polarized multifocal lenses - $75 copay
• Varilux comfort 2 progressive lenses - $90 copay
• Standard photosensitive single vision plastic lenses - $60 copay
• Standard photosensitive multifocal vision plastic lenses - $65 copay
• The schedule of vision care allowances for use of non-participating providers is $100 and includes:
• Comprehensive Eye Exam - $20 (including testing for glaucoma) every 12 months
• Lenses - $60 every 24 months, or after 12 months if prescription changes
• Frames - $20 every 24 months

Frames

Frames with a retail value up to $175 are available every 24 months at no cost to you when using an in-network provider. If you choose a frame with a retail value greater than $175, you will be responsible for paying the difference between the total retail price and $175. For example, if the frame you choose costs $185, you will have to pay $10. Please note that certain stores only offer a specific selection of frames under insurance plans, including the Con Edison plans.

Claim Form

Participating providers have claim forms. Your provider will ask you to sign a claim form after you receive services. If you use out-of-network providers, you will need to complete a claim forms for non-participating providers and submit it to CPS Optical with itemized receipts. 

The reimbursement for using out-of-network providers is the following:

• Exam - $20
• Lenses - $60
• Frames - $20