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Members

Adult Routine Vision

Available for adults who purchase plans with adult routine vision services.

Adult Routine Vision Services (for Members age 19 and older)
Comprehensive Vision Exam

(Limited to 1 each calendar year)

Routine Retinal Screening
Prescription Glasses

Frames

  • Limited to 1 pair of frames every calendar year (up to a $150 allowance)

Lenses

  • Limited to 1 pair every calendar year
  • Glass or plastic single vision, lined bifocal, lined trifocal or lenticular lenses
Prescription Contact Lenses
  • In lieu of prescription glasses, materials and services are limited to 1 pair of contact lenses up to $150 every calendar year.
  • Medically necessary contact lenses for specified medical conditions require Prior Authorization.

Please click here to find optometrists that can provide covered eye care services.

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This information is for Doctors and
Health Care Professionals only.

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