VISION PLAN
SUMMARY OF COVERAGE
Plan Features
IN NETWORK
Vision Exam Lenses
Single Bifocal Trifocal Progressive
Frames Elective Contact Lenses Medically Necessary Contact Lenses Frequency (Months) Exam
Lenses Frames Contacts
OUT OF NETWORK
Vision Exam Lenses
Single Bifocal Trifocal Progressive
Frames Elective Contact Lenses Medically Necessary Contact Lenses
12
I
GARAN BENEFITS GUIDE
VISION PLAN
12
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