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Vision Services
Effective August 15, 2008 for UC Berkeley and Mills College Students:
Beginning August 15, 2008, SHIP includes a vision plan. This plan covers
vision screening and correction services and is provided by the UC Berkeley
School of Optometry. Injury or illness of the eye will continue to be
covered by the medical portion of SHIP, administered by Anthem Blue
Cross.
No separate enrollment is necessary, and there is no additional charge
for this benefit - if you have SHIP, you have the vision plan! Vision
coverage may not be purchased separately from the medical, counseling
and dental benefits of SHIP. You do not need a separate member ID card
- just bring your Anthem Blue Cross card.
Vision services are provided at the School of Optometry's two clinics
on campus - in the Tang Center and in Minor Hall - and at 12 satellite
locations throughout California. For your convenience, the Minor Hall
clinic is open seven days a week. For urgent needs when the clinic is
closed, you may call (510) 642-2020, 24 hours a day.
SHIP Vision Plan Benefits Include:
- Eye exam for a $5 copay, once every 12 months
- Frames and lenses OR contact lenses, for a $15 copay, once every
12 months, up to a $120 value
- 20% discount on lens options such as Transitions lenses, anti-reflective
or anti-scratch coatings, UV protection, and others
- 50% discount on Lasik or PRK refractive surgeries
- 24/7 access to emergency care
To make an appointment at the Tang Center clinic, call (510) 643-2020.
To make an appointment at the Minor Hall clinic, call (510) 642-2020.
You may submit an appointment request electronically at the School of
Optometry web site http://www.caleyecare.org/index.html
You will be expected to pay the copayment and other fees at the time
of service. There are no claims to file.
If you are away from Berkeley and urgently need replacement of prescription
ophthalmic materials that were originally provided by the School of
Optometry, such as glasses or contact lenses, the School will provide
overnight shipping at no additional charge.
Please note:
- If lenses and frames or contact lenses are chosen which exceed the
$120 allowance, the cost above $120 is the responsibility of the student.
Contact lens wearers may be subject to a contact lens evaluation fee
or, for first-time users, a fitting fee. Please see below for examples
of fees for typical visits.
- Services are covered only if they are provided by the UC Berkeley
School of Optometry.
- The following services or supplies are not covered by this vision
plan: Orthoptics or vision training, non-prescription glasses or contact
lenses, medical or surgical treatment of the eyes other than laser
vision correction, non-FDA-approved vision services, treatment and
materials, and any other service not listed above as a covered benefit.
Services are available at these UC Berkeley School of Optometry Clinic
locations throughout California:
Cal State University (CSU) Student Health Centers:
San Diego
Los Angeles
Northridge
East Bay (Hayward)
San Francisco
Sacramento
(In development): Fresno
UC Merced Student Health Center
Community Based Clinics:
Castle Family Health Atwater, CA (near Merced)
CommuniCare Clinics Davis, CA
Alameda County Medical Center - multiple sites in the East Bay
Eastmont Wellness Center Oakland, CA
Over 60 Clinic Berkeley and Oakland, CA
La Clinica de la Raza Oakland, CA
Examples of Plan Benefits and Patient Payments:
Student 1: Frame of $120 or less and Single Vision Lenses.
$120 Frame Allowance - patient pays overage.
|
Service or Material
|
Usual/Customary
|
Plan Pays
|
Patient Pays
|
| Exam ($5 Co-Pay) |
88.00 |
83.00 |
5.00 |
| Material ($15 Co-Pay) |
|
-15.00 |
15.00 |
| Frame - $120 Frame Allowance |
120.00 |
120.00 |
|
| SV Lenses (CR-39) |
52.00 |
52.00 |
|
| TOTAL |
$260.00 |
$240.00 |
$20.00 |
Student 2: Frame of $175 and Single Vision Lenses.
$120 Frame Allowance - patient pays overage.
| Service or Material |
Usual/Customary |
Plan Pays |
Patient Pays |
| Exam ($5 Co-Pay) |
88.00 |
83.00 |
5.00 |
| Material ($15 Co-Pay) |
|
-15.00 |
15.00 |
|
Frame - $120 Frame Allowance $175.00 Frame selected
|
$120.00 |
120.00 |
|
| Frame Overage Paid by Patient (with 20% discount) |
55.00 |
11.00 |
44.00 |
| SV Lenses (CR-39) |
52.00 |
52.00 |
|
| TOTAL |
$315.00 |
$251.00 |
$64.00 |
Student 3: Exam and $120 Contact Lens Allowance , Level I CL Evaluation,
Purchase of Contact Lenses
$120 Contact lens allowance for evaluation or fitting fees and purchase
of contact lenses.
| Service or Material |
Usual/Customary |
Plan Pays |
Patient Pays |
| Exam ($5 Co-Pay) |
88.00 |
83.00 |
5.00 |
| Material ($15 Co-Pay) |
|
-15.00 |
15.00 |
| Contact Lens Allowance $120 |
|
120.00 |
-120.00 |
| Contact Lens Evaluation Fee - Level I |
29.00 |
|
29.00 |
| 4 boxes of Contact Lenses @ $25 each) |
$100.00 |
|
$100.00 |
| TOTAL |
$217.00 |
$188.00 |
$29.00 |
Student 4: Exam and $120 Contact Lens Allowance , Level I CL Brand
New Fitting, Purchase of Contact Lenses
$120 Contact Lens allowance for evaluation or fitting fees and purchase
of contact lenses.
| Service or Material |
Usual/Customary |
Plan Pays |
Patient Pays |
| Exam ($5 Co-Pay) |
88.00 |
83.00 |
5.00 |
| Material ($15 Co-Pay) |
|
-15.00 |
15.00 |
| Contact Lens Allowance $120 |
|
120.00 |
-120.00 |
| Contact Lens Evaluation Fee - Low complexity Level
I |
116.00 |
|
116.00 |
| 4 boxes of Contact Lenses @ $25 each) |
$100.00 |
|
$100.00 |
| TOTAL |
$304.00 |
$188.00 |
$116.00 |
See the Meredith W. Morgan University
Eye Center site for more information on services provided by the
School of Optometry clinics.
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