Vision Insurance Question
Hello! I recently received vision insurance through my job, and the frame benefits state: “Plan pays 100%, $125 allowance, 20% off balance over $125.”
Does this mean I can select frames that are up to $125 without any out-of-pocket expense? Or is it something different? Their wording is a bit confusing!
Hi! It sounds like your vision insurance provides a $125 allowance for frames. This means that you can choose frames valued up to $125, and the insurance will cover the full cost of those frames. If you select frames that cost more than $125, you’ll need to pay the difference out of pocket, plus you’ll get a discount of 20% on that amount above $125.
For example, if you chose frames that cost $150, your insurance would cover the first $125, and you would be responsible for the remaining $25. However, since you have a 20% discount on that $25, you’d only need to pay $20 (which is 80% of $25) plus the $125 covered by insurance.
Hope that helps clarify things! Let me know if you have any other questions!