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It might depend on the office/area but I have separate medical, dental, and vision. The vision plan is basic and everyone gets it but I opted in for the enhanced plan
Dental is always separate. Vision is generally included in your medical.
Vision is not included in medical insurance (except for the annual physical, if you can squeeze in an eye exam in the reminder of this year. :)). There is the eyemed discount you can use but its pretty meager. 25 years of no eyesight problems which is why I didn't take the vision insurance and the audit workpapars introduced me to glasses! $150 out of pocket!
Vision is not covered by my medical BUT it cost me $120 for three years worth of eye exams at America’s Best and $140 for two sets of glasses. Contacts maybe $200 a year too. Not bad out of pocket. Dental coverage is separate then.
At PwC we have 3 separate insurance for medical, dental, and vision