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Specialty Computer and Safety Glasses
Employees who are required to use computers and other digital devices are eligible for an initial vision testing examination at their approved benefit amount. Employees who require prescription corrective lenses for the computer are eligible for the additional pair of computer glasses on top of their normal prescription once every 12 months if the prescription is different from the everyday eyewear prescription.
Here's an example of how this works:
Chris has always required glasses for seeing far away, he will be getting a new pair everyday glasses this year. Chris also works on a full-time basis in front of the computer and would like a pair of computer glasses. His 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.
To Be Completed by HR Offices Only:
To obtain the secondary prescription, eligible employees must have their HR office complete and submit the Prescription Safety Glasses 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.
Effective 1/1/2023, this certification form is only required for prescription safety glasses.
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 must be downloaded and completed in either Adobe Reader or Adobe Acrobat DC. The submit button will not function if opened in a web browser.