Vision Plan Features

IN NETWORKOUT OF NETWORK
Covered Services Every 12 Months
Annual Exam100%; no copay$40 allowance
Frames$200 allowance; 20% discount$45 allowance
Lenses*
Single Vision $20 copay$25 allowance
Bifocal $20 copay$40 allowance
Trifocal $20 copay$55 allowance
Lenticular $20 copay$75 allowance
Contacts
Elective Conventional$200 allowance; 15% discount$105 allowance
Elective Disposable$200 allowance$105 allowance
Non-Elective100%$210 allowance
Contact Lens Fitting100%Not covered
* Options such as extra-thin lenses or special lens coatings may increase your out-of-pocket costs.