Vision
Your vision benefits provide coverage for routine eye exams and pay for all, or a portion of, the cost of glasses or contact lenses. You can choose any provider; however, you can save money when you see in-network providers.
Littelfuse offers one vision plan option through EyeMed. An ID card is not required for this plan. When you visit your eye care provider, just let them know you have coverage through EyeMed. You may need to provide your Social Security number to confirm your coverage.
REMINDER: Coverage Frequency
Your eye exam is covered once every 12 months, and your allowance for eyeglass lenses or contact lenses renews every 12 months. However, your frame allowance renews once every 24 months.
| PLAN FEATURES | VISION PLAN | |
|---|---|---|
| Services/Benefit | In-network | Out-of-network |
| Vision Exam (Once every 12 months) |
$10 copay | Plan pays up to $30 allowance, you pay the rest |
| Frames (one pair every 24 months) |
$130 allowance and 20% off balance | Up to $65 |
| Eyeglass Lenses Single Bifocal Trifocal Standard Progressive |
$10 copay $10 copay $10 copay $75 copay |
Up to $25 Up to $40 Up to $60 Up to $40 |
| Contact Lenses Conventional Disposable Medically Necessary |
$130 allowance and 15% off balance over $130 |
Up to $104 Up to $104 Up to $200 |
| Vision Correction Procedures (LASIK or PRK) |
15% off retail price or 5% off promotional price | Not covered |
Contact

EyeMed Vision Plan
866-939-3633
Additional In-network Discounts and Features
- 40% off additional eyewear purchases
- 20% off optical supplies (including nonprescription sunglasses)
Stay In-network for Maximum Benefits
The EyeMed Vision “Select” Network is made up of more than 52,000 providers nationwide, including retail chains like LensCrafters, Pearle Vision, Target and Wal-Mart as well as independent providers.
Find a Network Provider
You can use the EyeMed website provider locator (below) to search for eye doctors and retail locations in the EyeMed network. Enter your zip code to find providers in your area.
