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Vision Care Services

Member Cost

Exam with Dilation as Necessary:

$5 off routine exam
$10 off contact lens exam

Complete Pair of Glasses Purchase*: frame, lenses and lens options must be purchased in the same transaction to receive full discount.

Standard Plastic Lenses:
Single Vision
Bifocal
Trifocal

$50
$70
$105

Frames:
Any frame available at provider location

40% off retail price

Lens Options:
UV Coating
Tint (Solid and Gradient)
Standard Scratch-Resistance
Standard Polycarbonate
Standard Progressive (Add-on to Bifocal)
Standard Anti-Reflective Coating
Other Add-Ons and Services

$15
$15
$15
$40
$65
$45
20% discount

Contact Lens Materials:
(Discount applied to materials only)
Disposable
Conventional

0% off retail price
15% off retail price

Laser Vision Correction**:
Lasik or PRK

15% off retail price - or -
5% off promotional price

Frequency:
Examination
Frame
Lenses
Contact Lenses

Unlimited
Unlimited
Unlimited
Unlimited

Number of Benefit Eligible Employees:
Cost per Card:
Card fee valid for a 24 month period

$0.00

Limitations/Exclusions:

• Orthoptic or vision training, subnormal vision aids, and any associated supplemental testing
• Medical and/or surgical treatment of the eye, eyes, or supporting structures
• Corrective eyewear required by an employer as a condition of employment, and safety eyewear unless specifically covered under plan
• Services provided as a result of any Worker's Compensation law
• Discount is not available on those frames where the manufacturer prohibits a discount