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Vision plans
With a focus on low member out-of-pocket costs, our vision plan options deliver value and choice
No matter what plan you choose, members can also take advantage of extra perks like free one-year eyeglasses breakage warranty, discounted pricing on additional pairs of glasses, and LASIK eye services
The following vision plans are available to all 51–99 and 100+ customers.
 Vision Care 100
Copayments
Frequency
Option 1
Option 2
Employer paid
Option 3
     Funding type
Employer paid & voluntary
Employer paid & voluntary
          Eye examination Spectacle lenses
Eye examination1
Spectacle lenses
Frame
Contact lens evaluation, fitting & follow-up care
Contact lenses (in lieu of eyeglasses)
$0
 12 months
$10
  12 months
$0
 $0
$25
$0
   12 months
12 months
24 months
 24 months
    12 months
24 months
  12 months
24 months
  12 months
24 months
    12 months
12 months
24 months
     Frame allowance options
• Fully covered or minimal copay for Davis Vision Exclusive Collection of frames,2 or • $100 frame allowance, plus 20% off the overage at in-network providers, or
• $150 frame allowance at Visionworks
   Vision Care 130
Option 1
Option 2
Option 3
     Funding type
Employer paid & voluntary
Employer paid & voluntary
Employer paid & voluntary
     Copayments
     Eye examination Spectacle lenses
Eye examination1
Spectacle lenses
Frame
Contact lens evaluation, fitting & follow-up care
Contact lenses (in lieu of eyeglasses)
$0
$10
$10
    $0
    Frequency
12 months
   12 months
$10
12 months
12 months
$25
12 months
   12 months
12 months
12 months
   12 months
24 months
24 months
   12 months
    1. Inclusive of dilation when professionally indicated.
2. Allowances are up to the amount shown for each plan type.
55
12 months
12 months
• Fully covered or minimal copay for Davis Vision Exclusive Collection of frames,2 or • $130 frame allowance, plus 20% off the overage at in-network providers, or
• $180 frame allowance at Visionworks
12 months
     Frame allowance options
  











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