BENEFITS → SELECTIONS → ESTIMATE
EyeMed plan pricing
Find the plan. Build the order. See the patient’s estimated cost.
MI Public School Employees Retirement System
Group 1013772 · Access 104 · Benefit level 1
Source: supplied EyeMed benefit display dated September 23, 2026. Not a live EyeMed lookup.
Confirm this network and benefit level for the patient. Plan lookup does not verify individual eligibility or remaining benefits. Contacts are in place of frames and lenses.
Build the patient’s estimate
Choose only the services being provided. Retail amounts are entered per order / pair, not per lens. No patient information is collected or saved.
Exam services
Lens options
Other lens options
Choose an option to load its retail price automatically. This plan applies a 20% discount. Choose only one high-index material.
Do not select options already included in a lens package. Polycarbonate and glass are mutually exclusive.
Combined materials package
Lens materials and options
Medically necessary contacts require confirmation of EyeMed’s criteria and coverage; this tool does not determine medical necessity.
Plan benefits & calculation rules
| Exam / retinal imaging | $10 / up to $39 |
| Frame | 80% of retail balance above $120; $0 copay |
| Basic lenses | $25 (single vision, bifocal, trifocal, lenticular) |
| Progressives | Ethos $80; Ethos Plus $110; Via 3 $120; Via 3 Plus $135 |
| Via 3 Elite | Retail × 80% − $120 + $90. Imported from your previous calculator; negative result floored at $0. |
| Unity Office Pro | Add-on retail × 50% + $25 bifocal copay. From your product chart; confirm applicability before quoting. |
| AR | Standard $45; Lab Choice $57; Techshield Plus $68; Techshield Elite 80% of retail |
| Lens options | SunSync $75; SunSync Drive XT / Elite 80% of $119 retail; polycarbonate $40; scratch $15; tint $15; UV $15; glass $0; other options 80% of retail |
| Contacts | Conventional: $25 + 85% of excess over $120. Disposable: $25 + full excess over $120. Medically necessary: $25. |
| Fit and follow-up | Standard: lesser of retail or $55. Premium: 90% of retail. |
| Frequency | Exam, lenses, frame, contacts: every 12 months from date of service. Fit/follow-up: unlimited in supplied display. |