Preferred Provider Vision Plan: Services and Fees
| Services and Materials |
You Pay |
Eye Examination
including dilation, as professionally indicated |
$10
|
ONE Pair of Lenses
includes single vision, bifocals, trifocals, and cataract lenses;
includes plastic or glass lenses;
includes oversized lenses and fashion tinted plastic lenses;
includes prescription sunglasses; |
$0
|
ONE Pair of Frames
Frames selected from the Designer-Metal Plan Frame Collection.
NOTE: Not all frames displayed in a Preferred Vision Provider’s Office
are part of the DESIGNER-METAL PLAN FRAME COLLECTION.
Only those frames which are part of the DESIGNER-METAL PLAN
FRAME COLLECTION are covered in full. |
$0
|
These services require a Member Co-Payment:
| Services and Materials |
You Pay |
| One pair of progressive addition multifocals (in place of standard bifocals): |
|
| Premium types: i.e. Varilux, Varilux Plus, Kodak, Rodenstock |
$80.00
|
| Standard types: Other no-line brands |
$50.00
|
| Photogrey lenses (in place of standard lenses): |
|
| single vision lenses |
$15.00
|
| multifocal lenses |
$25.00
|
| High-index lenses (in place of standard lenses) |
$55.00
|
Polycarbonate lenses (in place of standard lenses)
No charge for children or monocular patients. |
$30.00
|
| Blended segment lenses (in place of standard lenses) |
$20.00
|
| Polaroid Lenses (in place of standard lenses) |
$60.00
|
| Glare resistant treatment |
$35.00
|
| UV protective coating |
$12.00
|
| Scratch protective coating |
$20.00
|
| Premium anti-reflective coating |
$48.00
|
| Plastic photosensitive lenses (in place of standard lenses) |
$65.00
|
|
One Pair Frames selected from Premier Frame Collection
|
$30.00
|
|
CONTACT LENSES
|
|
| Available for most prescriptions: |
|
On pair of standard, soft, daily-wear lenses; or
two multi-packs of planned replacement lenses; or
two multi-packs(*) of disposable lenses |
$50.00
|
| (*) Existing wearers receive four multi-packs. |
|
OTHER
Value Advantage Program:Eligible Fund members may purchase additional eyewear at any time, directly from Davis Vision,through the Value Advantage Program. Please contact Davis Vision at (800) 406-1656 for more information.
Lens 1-2-3 Program: Each eligible Fund member will receive free membership in and access to Lens 1-2-3, a mail-order contact lens replacement service offering brand-name additional or replacement contact lenses at the guaranteed lowest prices. First-time contact lens wearers must receive their lenses from a Preferred Vision Provider. Please call (800) 536-7123 [800-LENS-123] for more information.
Laser Vision Correction Discount:Eligible Fund members may receive a discount of up to twenty-five percent (25%) off providers' usual and customary fee or a minimum of five percent (5%) off any advertised special for either PRK or conventional LASIK laser vision correction from the laser vision correction network. Alternatively, some facilities may offer a flat rate, which equates to these comparable discount levels. Please contact Davis Vision for further information and requirements. The Fund is not recommending or endorsing this procedure, but simply allowing member access to this discount.
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