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Total Retiree Advantage (TRAIL) State Vision Program
EyeMed administers the vision benefits for the State Vision Program. When plan participants utilize EyeMed In-Network providers, the benefit levels are greater.
Vision Coverage is provided at no additional cost to members and their covered dependents that are enrolled in the State Total Retiree Advantage Illinois (TRAIL) MAPD plan.
Plan participants must submit an EyeMed Claim form for reimbursement when an out-of-network provider is used.
PY2025 Plan Year
| Service | Network Provider Benefit | Out of Network** Provider Benefit | Frequency |
|---|---|---|---|
| Eye Exam | $30 copayment | $30 reimbursement | Once every 12 months |
Standard Frames
|
$30 copayment (up to $175 retail frame cost; member responsible for balance over $175) |
$70 reimbursement
|
Once every 24 months |
Vision Lenses* (single, bifocal and trifocal) |
$30 copayment
|
$50 reimbursement for single vision lenses $80 reimbursement or bifocal and trifocal lenses |
Once every 12 months |
Contact Lenses (All contact lenses are in lieu of vision lenses) |
$120 allowance | $120 reimbursement | Once every 12 months |
* Vision Lenses: Plan Participant pays any and all optional lens enhancement charges. Network providers may offer additional discounts on lens enhancements and multiple pair purchases.
** Out of Network claims must be filed within one year from the date of service.