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Vision Plan Highlights
Vision Benefits Guardian Benefits reset on service year.
Guardian VSP Vision
IN NETWORK
Routine Eye Examination
Materials (Single/Bifocal/Trifocal Lenses)
Frames
Elective Contact Lenses Standard Progressive Lenses LASIK
$10 Copay $25 Copay
Up to $130
Up to $130
$55 Copay
15% off retail; 5% off promotions
OUT– OF- NETWORK
Routine Eye Examination Frames
Single Vision Lenes Bifocal Lenses
Trifocal Lenses
Elective Contact Lenses
Up to $39 Up to $46 Up to $23 Up to $37 Up to $49 Up to $100
SCHEDULE OF FREQUENCY
Eye-Examination
Lenses
Frames
Contacts
Contacts are lieu of glasses
12 months 12 months 12 months 12 months Yes
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