The UHA Vision 100 Plan is bundled with the UHA Medical Plan.  The vision plan through UHA helps you save money on annual eye exams, glasses, and contact lenses. The network includes a wide variety of eye doctors and vision retailers.

The plan pays benefits for both in-network and out-of-network services. However, you will receive maximum value from your vision benefits when you choose network providers.

UHA Vision 100 Plan

  • Examination: Plan pays 100% of the eligible charge for one eye examination and refraction per member, per calendar year
  • Appliances: Up to $175 for the 2024 calendar year towards the purchase of eyeglasses, contact lenses, frames, lenses, or any combination thereof
  • LASIK Benefit: Our vision plan includes benefits for LASIK. The allowance is up to $350 per eye, per lifetime, for a total benefit of $700 for LASIK surgery as approved by the Food and Drug Administration for members aged 18 and older.

Vision Care Providers

Members have the choice of going to a participating or non-participating UHA vision provider who must be a licensed Ophthalmologist (M.D.) or Optometrist (O.D.)

Limitations & Exclusions

The following services are not covered:

  • Contact lens fitting
  • Repair or replacements of frame parts and accessories
  • Sunglasses
  • Prescription inserts for diving masks
  • Nonprescription industrial safety goggles
  • Tinting of glasses

HOW TO FILE A VISION CLAIM FOR SERVICES FROM A NON-PARTICIPATING PROVIDER

01/  Present your UHA member identification card to the provider of services

02/  Send your receipt or invoice and copy of your UHA medical card
Via Mail: 700 Bishop Street, Suite 300, Honolulu, HI 96813
Via Fax: 866-572-4393

03/  All claims must be filed within one year from the date of service; claims filed after one year will not be paid.

QUESTIONS?

Contact UHA Customer Service at 808-532-4000, or 800-458-4600 from the neighbor islands.


VIEW PLAN DOCUMENTS