Provided By: Medical Eye Services

EYE CARE AND EYEWEAR PLAN

The plan provides full coverage for covered services and/or materials when provided by a participating provider of the eye care network. Directories of participating providers are available on request.

• One comprehensive examination in any 24 consecutive months, with a follow-up examination at 12 month intervals.
• One pair of standard lenses in any 24 consecutive months, or at 12 month intervals if the prescription change so indicates. (Standard lenses fit any frame with an eye size less than 56mm)
• One standard frame in any 24 consecutive months. (A standard frame is any frame that has a maximum retail cost of $60 or less).
• One pair of contact lenses in any 24 consecutive months, or at 12 month intervals if the prescription change so indicates. (This benefit is in lieu of lenses and frames).
• If contact lenses are for cosmetic or convenience purposes, the plan will pay $100 toward their cost. Any balance is the participants responsibility.
• If contact lenses are medically necessary they are a fully covered benefit, following cataract surgery, when visual acuity cannot be corrected to 20/70 in the better eye except through the use of contacts or when necessitated by anisometropia or keratoconus. A report from the eye care specialist is required.