| Vision Plan | |
|---|---|
| Annual Vision Exam | $15 copay |
| Retail Frames | $170 calendar year allowance |
| Featured Brand Frames | $190 calendar year allowance |
| Costco Frames | $95 calendar year allowance |
| Safety Frames | $150 calendar year allowance (in-network only) |
| Standard Lenses | 100% |
| Contact Lenses (in lieu of lenses or frames) | $150 calendar year allowance |
| Laser Surgery | Discounted Rates |