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Participating provider
Vision Exam:
New Agreement:
fully covered annually (in
network)
Former Agreement: covered
$20 of the cost only once
every two years
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Lenses
New Agreement:
Single Vision Lens: fully
covered annually
Bifocal Lens: fully
covered annually
Trifocal Lens: fully
covered annually
Lenticular Lens: fully
covered annually
Former Agreement:
$20 toward the cost of any
of the above lenses only
once every two years
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Contact Lenses:
New Agreement:
100% up to $100 annually
(fitting not included)
Former Agreement: no
coverage
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Frames:
New Agreement:
$90 annually
Former Agreement:
$20 once every two years
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Non-participating
provider:
Exams:
New Agreement:
$40 annually
Former Agreement: $20 once
every two years
Single lens:
New Agreement:
$40 annually
Former Agreement: $20 once
every two years
Bifocal:
New Agreement:
$60 annually
Former Agreement: $20 once
every two years
Trifocal:
New Agreement:
$60 annually
Former Agreement: $20 once
every two years
Lenticular:
New Agreement:
$150 annually
Former Agreement: $20 once
every two years
Contacts Lenses:
New Agreement:
$100 annually
Former Agreement: no
coverage
Frames:
New Agreement:
$45 annually
Former Agreement: $20 once
every two years
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