Frequently Asked Questions
What is covered?
Your plan is designed to cover eye examinations and corrective eyewear upon payment of any applicable copayments. Should you choose options that are not covered, a discount will be applied, at a particpating provider.
What type of frames are covered through my plan?
You may choose from a wide variety of frames within the provider's office. You can stay within your plan allowance and incur no out-of-pocket expenses. Alternatively, if you select a frame with a wholesale cost (what the provider pays the manufacturer for the frame) that exceeds your plan allowance, your plan allowance will be applied and a discount of 10% to 40 % will apply to any remaining balance.
What are medically necessary contacts?
Medically Necessary Contacts are when a vision care provider has determined that spectacle lenses and frames would not achieve the best vision correction possible due to a medical condition.
In most cases diagnosis such as:
- Corneal trauma
- Post cataract surgery
Your vision provider will qualify you for medically necessary contacts. Prior approval is required for services.
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