RFP_31786-00192_Appendix_7.13_Plan_Benefit_Changes.xlsx

This is an appendix detailing plan benefit changes for a voluntary, fully-insured vision insurance plan (RFP 31786-00192) for the State of Tennessee, effective January 1, 2028. The document outlines modifications to vision coverage benefits across two plan tiers—Basic Plan and Expanded Plan—covering frames and contact lenses (conventional and disposable). The changes specify new allowance amounts and reimbursement levels that bidders must incorporate into their proposed plan designs for the contract term beginning in 2028.

The Basic Plan increases frame allowances from $105 to $150 and maintains a $55 reimbursement rate, while conventional and disposable contact lens allowances rise from $105 to $150 with a consistent $30 reimbursement. The Expanded Plan raises frame allowances from $150 to $200 with a $75 reimbursement rate and increases conventional and disposable contact lens allowances from $150 to $200 with enhanced $100 reimbursement levels. These benefit enhancements, highlighted in yellow in the source document, represent the changes vendors must implement in their proposals to meet the state's updated vision plan requirements.