Vision Plan

Standard lenses are covered.

AVESIS VISION OPTION

Exam Frequency In Network $10 Copay Every 12 Months

Lenses

Covered 100% Single/Bifocal/Trifocal/ after $10 copay Lenticular Frequency Every 12 Months Out of Network Reimbursed to $35 Every 12 Months

Reimbursed to $25 to $80 depending on lens

Every 12 Months

Frames Frequency $50 Wholesale Allowance up to $150 Retail Value Reimbursed to $45 Every 24 Months Every 24 Months

Contact Lenses Medically Necessary (In lieu of frames Covered in Full and lenses) Elective $130 Allowance

Frequency Every 12 Months Medically Necessary Reimbursed to $250 Elective Reimbursed to $130 Every 12 Months