Vision Care Exam: Covered in full after applicable $10 copay
Eyeglass Frames: $175 Retail Allowance
(In lieu of all other materials and services)
Elective Materials: $235 Allowance
Elective Contact Lens Fitting and Evaluation: 15% Discount
Single Vision Lens: Covered in full after applicable $35 copay
Bifocal Lens: Covered in full after applicable $35 copay
Blended Bifocal Lens: Covered in full after applicable $35 copay
Trifocal Lens: Covered in full after applicable $35 copay
Lenticular Lens: Covered in full after applicable $35 copay
Basic Progressive Lens: Covered in full after applicable $35 copay
Standard Progressive Lens: Covered in full after applicable $35 copay
Premium 1 & 2 Progressive Lens: Covered in full after applicable $35 copay
Premium 3 & 4 Progressive Lens: Partially-Covered after applicable $35 copay
Anti-Reflective Standard 1: Covered in full
Anti-Reflective Standard 2: Covered in full
Anti-Reflective Premium 1 & 2: Covered in full
Anti-Reflective Ultra: Not Covered
Polycarbonate: Covered in full
Standard Scratch Coating: Covered in full