Specialty Computer and Safety Glasses
Employees who are required to use computers and other digital devices on a full-time basis are eligible for an initial vision testing examination at their approved benefit amount. Employees who require prescription corrective lenses for the computer different than what is normally used are eligible for the additional pair of computer glasses on top of their normal prescription. Employees are eligible once every 24 months, or once every 12 months if the prescription has changed.
Here's an example of how this works:
Chris has always required glasses for seeing far away, and will be getting a new pair of everyday-glasses this year. Chris also works on a full-time basis in front of the computer, and his position is eligible to receive the computer glasses benefit. Chris has his HR office submit the Certification Form on his behalf and visits his eye doctor after he receives the confirmation letter from EyeMed. Chris' eye doctor completes his computer glasses examination and determines that a second, different prescription is needed. Chris can obtain his glasses for seeing far away AND the computer glasses at the approved amounts. If Chris selects anything over and above the approved amount, he is responsible for any remaining out-of-pocket expense.
Employees who are required to use safety glasses on a full-time basis, as determined by the departmental employer, and who use prescription eyewear are eligible for a pair of prescription safety glasses.
Employees are eligible once every 24 months, or once every 12 months if the prescription has changed.
- 20-21 Computer Glasses Summary
- 20-21 Safety Glasses Summary
- 19-20 Computer Glasses Summary
- 19-20 Safety Glasses Summary
To Be Completed by HR Offices Only:
To obtain the secondary prescription, eligible employees must have their HR office complete and submit the Specialty Glasses Employee Certification Form on their behalf. This form is not to be completed by the employee.
After the HR office submits the completed form, there is a processing period of three to five business days. The employee should not visit their eye doctor until he or she receives the confirmation letter from EyeMed. Once the form has been processed, the employee should then visit their eye doctor and fill the prescription.
IMPORTANT: THIS FORM IS ONLY TO BE COMPLETED AND SUBMITTED BY HR OFFICES ON BEHALF OF THE EMPLOYEE. THE EMPLOYEE IS RESPONSIBLE FOR PROVIDING THE HR OFFICE WITH THEIR EYEMED MEMBER ID NUMBER.
Note: This form should be completed and submitted in Internet Explorer or downloaded, completed, and submitted.