The following routine vision care benefits are payable under the health plan:
- one vision examination, including a routine refraction, every 24 months, and
- one pair of lenses every 24 months, but only if a new or changed prescription makes it necessary to buy new lenses.
The maximum Vision Care Benefit payment every 24-month period for vision exams and lenses combined is $100.
Members must use an ophthalmologist, an optometrist or an optician for these services. If a member visits an optometrist for other than a routine vision exam, the optometrist's bill is paid under the regular medical benefits, not the vision care benefit. Lenses to replace the lens of the eye are also covered under the medical benefits.
The Routine Vision Care Benefit does not cover:
- sunglasses
- frames
- repair of lenses or frames
- replacement lenses when no prescription is necessary
- cosmetic extras, such as tinting or coating of lenses
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