Discounts available on all frames except when prohibited by the manufacturer.
$100 allowance, 20% off balance over $100
$50 allowance
Standard plastic lenses
Single vision
$25 copay
$25 allowance
Bifocal
$25 copay
$40 allowance
Trifocalp
$25 copay
$55 allowance
Lens options
UV coating
$15 copay
not available
Tint (solid and gradient)
$15 copay
not available
Standard scratch-resistance
$15 copay
not available
Standard polycarbonate‡
$40 copay
not available
Standard anti-reflective coating
$45 copay
not available
Standard progressive (add-on to bifocal)
$65 copay
not available
Other add-ons and services
20% off retail price
not available
Contact lenses (applies to materials only)
Conventional
$115 allowance,
15% off balance over $115
$92 allowance
Disposable
$115 allowance
$92 allowance
Medically necessary
$0 copay, paid-in-full
$200 allowance
Frequency
Examination
Once every 12 months
Once every 12 months
Frame
Once every 24 months
Once every 24 months
Lenses or contact lenses
Once every 12 months
Once every 12 months
* Standard contact lens fitting: spherical clear contact lenses in conventional wear and planned replacement (examples include but not limited to disposable, frequent replacement, etc.)
Premium contact lens fitting: all lens designs, materials and specialty fittings other than standard contact lenses (examples include toric, multifocal, etc.)
‡ Standard polycarbonate available at no charge to dependents to 19 years old. All other members pay a fixed charge of $40.
