Vision Plan

All allowances are at a retail value; member is responsible for any amount over the allowance, minus available discounts.

2 Standard contact lens fitting applies to an existing contact lens user who wears disposable, daily wear, or extended wear lenses only. The

specialty contact lens fitting applies to new contact lens wearers and/or a member who wears toric, gas permeable, or multifocal lenses. For

the specialty fitting, the member is responsible for any charges over $50.

3 If premium progressive lenses are selected, members receive an allowance based on the provider’s charges for standard progressive lenses.

4 Contact lenses are in lieu of eyeglass lenses and frames benefit.

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