Auto-Wares Benefits Package Book

AWI LEASING DBA AUTO-WARES Eye Care Highlight Sheet

Plan 1: Focus® Plan Summary

Effective Date: 1/1/2026

VSP Choice Network + Affiliates

Out of Network

Deductibles

$20 Exam

$20 Exam

$20 Eye Glass Lenses or Frames*

$20 Eye Glass Lenses or Frames

Covered in full

Up to $45

Annual Eye Exam Lenses (per pair) Single Vision

Covered in full Covered in full Covered in full Covered in full See lens options

Up to $30 Up to $50 Up to $65 Up to $100

Bifocal Trifocal

Lenticular Progressive

NA

Contacts

Member cost up to $60

No benefit

Fit & Follow Up Exams

Up to $150

Up to $120 Up to $210 Up to $70

Elective

Covered in full

Medically Necessary

$150**

Frame Allowance

Frequencies (months) Exam/Lens/Frame

12/12/24

12/12/24

Based on calendar year

Based on calendar year

*Deductible applies to a complete pair of glasses or to frames, whichever is selected. **The Costco and Walmart allowance will be the wholesale equivalent.

Lens Options (member cost)*

VSP Choice Network + Affiliates

Out of Network

(Other than Costco)

Progressive Lenses Standard

Covered in full

Up to Lined Bifocal allowance. Up to Lined Bifocal allowance.

Up to provider's contracted fee for Lined Bifocal Lenses. The patient is responsible for the difference between the base lens and the Progressive Lens charge. Covered in full for dependent children $33 adults

Premium

No benefit

Std. Polycarbonate

$15 (except Pink I & II)

No benefit

Solid Plastic Dye

$17

No benefit No benefit

Plastic Gradient Dye Photochromatic Lenses (Glass & Plastic) Scratch Resistant Coating Anti-Reflective Coating

$31-$82

Covered in full Covered in full Covered in full

No benefit No benefit No benefit

Ultraviolet Coating

*Lens Option member costs vary by prescription, option chosen and retail locations.

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