Vision
Lincoln – Vision
IN NETWORK BENEFITS
Vision Exam
$10 Copay
Lenses
Single Bifocal Trifocal
$25 Copay $25 Copay $25 Copay $90 Copay
Progressive
Frames
$130 Allowance $125 Allowance
Elective Contact Lenses Medically Necessary Contact Lenses
$25 Copay
Frequency (Months) Exam
Every 12 Months Every 12 Months Every 24 Months
Lenses Frames
OUT OF NETWORK
Vision Exam
$40 Allowance
Lenses
Single Bifocal Trifocal
$40 Allowance $60 Allowance $80 Allowance $45 Allowance $125 Allowance
ID Cards are not required: Go to www.lvc.lfg.com Reference Network: Spectera
Frames
Elective Contact Lenses Medically Necessary Contact Lenses
$210 Allowance
EMPLOYEE COST Weekly
Lincoln will ONLY issue electronic ID cards
Bi-Weekly
$0.90 $1.70 $2.00 $2.82
Employee
$1.80 $3.41 $4.00 $5.63
Employee + Spouse Employee + Child(ren) Employee + Family
Let’s keep moving, New York. Let’s keep moving.
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