ExxonMobil Vision Plan dental plan icon

The ExxonMobil Vision Plan encourages preventive eye care by covering one comprehensive eye exam as well as one pair of lenses and frames or contact lenses each calendar year. (Two comprehensive exams are covered each calendar year for children under age 13 and expectant or breastfeeding mothers.) The plan also provides discounts on additional glasses or contact lenses, prescription sunglasses and laser eye surgery.

You can visit any provider, choosing a provider from the Spectera network will save you money. Visit www.exxonmobilvision.com to learn more.

Summary of coverage

Services shown are limited to once per calendar year.

Service In network you pay Non-network you pay
Comprehensive exam $0 Anything
over $40
Retinal screening photography $0 100%
Materials $35 copay
Frames
• Private practice and retail chain providers
Anything
over $150
Anything
over $45
Spectacle lenses
• Single vision
• Bifocals
• Trifocals
• Lenticular
$0 Anything over:
$40
$60
$80
$80
Lens options
• Standard scratch resistant coating
• Polycarbonate lenses
• Premium progressive tier IV
• Anti-reflective tier IV
$0 100%
Contact lenses (in lieu of eyeglasses)
• Covered-in-full elective contact lenses
• Necessary contact lenses
• All other elective contact lenses
$0
$0
Anything over $200
100%
Anything over $210
Anything over $200

For more detailed plan information, please refer to the Vision Plan Summary Plan Description at http://www.exxonmobilfamily.com/.