|Yearly Deductible||$25 per individual (combined in-and out-of-network)||$25 per individual (combined in- and out-of-network)|
|Yearly Vision Exam||100%||Up to $40|
|Single vision lenses||100%||Up to $40|
|Lined bifocal lenses||100%||Up to $60|
|Frames||100% up to $150 plan allowance;
20% off amount over allowance
|Up to $45|
|Contact Lenses||Up to $150;
15% discount on contact lens exam (fitting & evaluation)
|Up to $105|
*Note: Only one set of lenses and frames or one set of contacts may be purchased every 12 months.
Effective January 1, 2018, the vision plan will now cover in full the choice of one of the following lens enhancements for you and each covered dependent when you use an in-network provider.
- Progressive lenses or
- An additional $100 frame allowance or
- Anti-reflective coating or
- An additional $50 contact lens allowance