Spectera Vision Program
Available to AFT members as a part of the
Limited Supplemental Medical Plan
Benefits In-Network Out-of-Network
| Vision Exam | 100% after $10 co-pay | Up to $40 |
| Frames | 100% | Up to $45 |
| Single lenses | 100% after $25 co-pay | Up to $40 |
| Bifocal | 100% after $25 co-pay | Up to $60 |
| Trifocal | 100% after $25 co-pay | Up to $80 |
| Lenticular | 100% after $25 co-pay | Up to $80 |
| Contact Lenses | | |
| Conventional | 100% after $25 co-pay | Up to $105 |
| Disposable | 100% after $25 co-pay | Up to $105 |
| Medically Necessary | 100% after $25 co-pay | Up to $210 |
Using the plan:
The Spectera vision program offers both in and out-of-network benefits. Spectera’s national network offers choice and convenience with a diverse network of more than 23,000 providers. When making an appointment, simply give the Spectera provider the subscriber’s unique identification number, along with the patient’s name and date of birth, and identify the patient as a Spectera member. The provider will verify the patient’s eligibility and coverage prior to the scheduled appointment.
If you choose an out-of-network provider, simply pay the provider in full at the time of service. To request reimbursement, submit your receipts to:
Spectera Claims Department
-or-
Fax: 248-733-6060
The following information should be included with your receipt submission:
– Member’s name and address
– Patient’s name and date of birth
– Patient's unique identification number
To locate a participating provider in your area, go to www.spectera.com
To enroll in this program, please call 888/423-8700
*
For informational purposes only. Please refer to your policy for full details.