Infertility and Contact Lenses Coverage Clarifications

Contact Lenses

The Vision Benefits section of the Health Plan SPD clarifies the total allowance for non-network contact lenses. The maximum amount the vision benefit will cover for non-network contact lenses under the Plan is as follows: $105 per elective pair of lenses and $210 per Medically Necessary pair of lenses.

Infertility Diagnosis

The section of the Health Plan SPD titled “What’s Not Covered Under Medical Benefits” clarifies that an initial diagnostic workup to determine the cause of infertility prior to the start of any infertility treatment remains covered when performed by a non-Carrot provider.

To read a full list of amendments to the March 2025 Health Plan Summary Plan Description, visit www.dgaplans.org/health-plan-booklet.