Vision plans

Within 30 calendar days of your eligibility-hire date, a qualifying life event, or during the annual open enrollment period, you may enroll in the Avesis Advantage Program.

Please refer to the Enrollment and Administration section for information about coverage effective dates.

Avesis Advantage Program

Employees are responsible for the full premium of this voluntary plan.

Program highlights

Extensive provider access throughout the state.
$750 maximum allowance for LASIK surgery.
Hearing discount plan.
Increased in-network contact lens allowance.
Unlimited discounts on additional optical purchases.
Yearly coverage for a vision exam, glasses or contact lenses.

How to use the Advantage Program

Visit Avesis to find a provider. Using in-network providers allows you to maximize your vision care benefit. Next, schedule an appointment with your chosen provider for services and identify yourself as an Avesis member employed by the state of Arizona.

Out-of-network benefits and claim form

If services are received from a non-participating provider, you will pay the provider in full at the time of service and submit a claim to Avesis for reimbursement. The out-of-network claim form and itemized receipt should be sent to Avesis within three months of the date of service to be eligible for reimbursement. The Avesis claim form can be obtained at the website. Reimbursement will be made directly to the member.

Avesis benefits details

In-network benefits
Avesis Vision Plans	Advantage Vision Care
Frequency and copay
Examination frequency	Once every 12 months
Lenses frequency	Once every 12 months
Frame frequency	Once every 12 months
Examination copay	$10 copay
Optical materials copay - lenses and frames combined	$0
Standard spectacle lenses
Single vision lenses	100% covered
Bifocal lenses	100% covered
Trifocal lenses	100% covered
Lenticular lenses	100% covered
Standard progressive lenses	Covered up to $50, plus 20% off retail
Selected lens tints and coatings	Up to 20% discount
Frame
Frame	Covered up to $100 to $150 retail value - $50 wholesale cost allowance
Contact Lenses - in lieu of frame-spectacle lenses
Elective	10% to 20% discount and $150 allowance
Medically necessary	100% covered
Lasik-PRK
Lasik-PRK	$750 maximum allowance for one or both eyes. This benefit is in addition to the corrective eyewear benefit.

Out-of-network benefits
Avesis Vision Plans	Advantage Vision Care
Frequency and copay
Examination frequency	Once every 12 months
Lenses frequency	Once every 12 months
Frame frequency	Once every 12 months
Examination	Up to $50 reimbursement
Standard spectacle lenses
Single vision lenses	Up to $33 reimbursement
Bifocal lenses	Up to $50 reimbursement
Trifocal lenses	Up to $60 reimbursement
Lenticular lenses	Up to $110 reimbursement
Standard progressive lenses	Up to $60 reimbursement
Selected lens tints and coatings	No benefit
Frame
Frame	Up to $50 reimbursement
Contact Lenses - in lieu of frame/spectacle lenses
Elective	Up to $150 reimbursement
Medically necessary	Up to $300 reimbursement
Lasik-PRK
Lasik-PRK	Up to $750 reimbursement
International coverage	Covered as out-of-network. Reimbursed based on the Avesis reimbursement schedule.

Vision Premiums

Advantage Vision Care

	Pay Period		Monthly
	Employee	University	Employee	University
Employee	$1.72	N/A	$3.73	N/A
Employee and spouse	$5.70	N/A	$12.35	N/A
Employee and one child	$5.65	N/A	$12.24	N/A
Family	$7.11	N/A	$15.41	N/A