Thursday, March 23, 2017
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VISION BENEFITS
Untitled Document
Blue View Vision Additional Savings  Member Savings
Eye Glass Frame 35% discount off retail*

Contact Lenses

Conventional (non-disposable)

15% off retail price
Standard Plastic Lenses
Single Vision You Pay:   $50.00
Bifocal You Pay:   $70.00
Trifocal You Pay:   $105.00

Eyeglass Lens Options/Upgrades* - For those who like to add and extra touch to their eyewear.

Standard Anti-Reflective Coating You Pay:   $45.00
UV Coating You Pay:   $15.00
Tint You Pay:   $15.00
Standard Scratch-Resistance You Pay:   $15.00
Standard Polycarbonatezz You Pay:   $40.00
Standard Progressive (Add-on to bifocal) You Pay:   $65.00

Other Add-ons and Services

Includes some non-prescription sunglasses, lens cleaning supplies, contact lens solutions, and eyeglass cases, etc.

 

 

AMERITAS VISION

 

       

                
 
EyeMed Access Network
Out of Network
DEDUCTIBLES             
Annual Eye Exam

$10.00 Eye Glass Lenses

NA

No Deductible

NA

Lenses (per pair)

Single Vision

Covered in Full
Up to $25.00

Bifocal

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Covered in Full
Up to $40.00

Trifocal

Covered in Full
Up to $55.00

Lenticular

20% discount
No Benefit

Progressive

See Lens Options
NA
Contacts

Fit & Follow Up Exams

Standard

NA

Premium (Allowance)

NA

Elective

Up to $130.00

Medically Necessary

Covered in Full
Frames
$130.00
Frequencies (months)
MONTHLY RATES
Employee Only
6.08
12.08
10.72
16.72
EE + Spouse
EE + Children
EE + Spouse + Children