The plan provide discounts on exams, eyeglasses or contacts, and other vision services. Please be aware this plan allows you to see ANY vision provider and vision claims should be sent from your provider to Allied Health your vision administrator
Key Features
Any Provider
Annual Well Vision Eye Exam
$15 copay
Prescription Glasses See frame and lenses
$30 copay
Included in Prescription Glasses copay
Frames Every 24 months
$150 Frame allowance after copay for a wide selection of frames $170 allowance for featured frame brands 20% savings on the amount over your allowance $80 Costco® frame allowance
Lenses • Single vision, bifocal, trifocal and lenticular
Covered in full after copay (Includes standard scratch resistant coating)
Up to 4 boxes of contact lenses plus the fitting/evaluation fees and up to 2 follow-up visits are covered-in-full (After applicable copay)
Contacts ( in lieu of glasses) Contact lens exam (fitting and evaluation)
Non-sectional Contacts Medically Necessary
Up to $105 (Material copay waived) Covered inn full after applicable copay
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2023 Benefits Guide
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