EyeMed Vision Care

VISION CARE SERVICES	MEMBER COST
Exam with Dilation as Necessary:
Coverage	Retail price less $5 on routine exam Retail price less $10 on contact lens exam
Standard Plastic Lenses:
Single Vision	$35
Bifocal	$55
Trifocal	$90
Lenticular	$90
Basic Progressive	$100
Frames:
Luxottica:
Bronze Collection ($60 value*)	$30
Silver Collection ($100 value*)	$50
Gold Collection ($130 value*)	$65
Platinum Collection (>$130 value*)	$65 plus 80% of the retail price over $130
Lens Options:
UV Coating	$12
Tint (Solid and Gradient)	$12
Scratch-Resistance	$12
Basic Polycarbonate	$35
Standard Anti-Reflective	$45
Other Add-Ons and Services	20% off retail price
Contact Lenses: (Discount applied to material only)
Conventional	Retail price less 15%
Laser Vision Correction:
U.S. Laser Network
Lasik or PRK	Retail price less 15%
Frequency:
Examination	Unlimited
Frames	Unlimited
Lenses	Unlimited
Contact Lens	Unlimited
Member will receive a 20% discount on remaining balance at participating Providers beyond plan coverage, which may not be combined with any other discounts or promotional offers, and the discount does not apply to EyeMed's Providers professional services, non-Luxottica frames and disposable contact lenses. * Retail prices may vary by location.

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