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Vision - Your responsibility:
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VSP Choice Network Providers
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Exam (every 12 months)
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$10
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Prescription Glasses
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$30
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Lenses (every 12 months)
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•Single vision, lined bifocals and lined trifocal lenses
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•Polycarbonate lenses for dependent children
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•Scratch resistant coating, covered in full
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•Standard progressive lenses, covered in full
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•Anti-reflective coating, $25 copay applies if chosen
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Frames (every 24 months)
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Retail Frame
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•Retail Frame of your choice is covered up to $200, plus 20% off any additional out-of-pocket costs.
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Featured Frame1
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•Featured frame1 of your choice is covered up to $250, plus 20% off any additional out-of-pocket costs.
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Contact Lens Care (every 12 months in lieu of glasses)
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• When you choose contacts instead of glasses, $130 applies to the cost of our contacts.
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$60
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• The contact lens exam (fitting and evaluation) is in addition to your vision exam to ensure proper fit of contacts.
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Out-of-Network Reimbursement
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Exam (every 12 months)
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Up to $45 less $10 copy
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Prescription Glasses
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Lenses (every 12 months)
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•Single vision lenses
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Up to $30
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•Lined bifocal lenses
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Up to $50
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•Lined trifocal lenses
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Up to $65
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•Lined lenticular lenses
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Up to $100
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Retail Frame (every 24 months)
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Up to $70 less $25 copay
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Contact Lens Care (every 12 months in lieu of glasses)
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•Elective contact lenses
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Up to $105
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•Visually necessary contact lenses
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Up to $210
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1Applies to Altair or Marchon frames only.