Important Information About your Voluntary Vision Plan

What is Covered | Provider Search | Savings Example

     
Covered Services Amount Covered Frequency
Routine Eye Exam Covered 100% (after $10 co-payment) Once Every 12 Months
Frame Covered 100% (within plan allowance) Once Every 12 Months
Spectacle Lenses

(Standard - Single Vision, Bifocal, Trifocal, Lenticular)

Covered 100% Once Every 12 Months
Contact Lenses* $130 Allowance Once Every 12 Months
     
LASIK $150 one-time/lifetime allowance

Click here to view your
summary of benefits

Avesis has hundreds of particpating
LASIK providers in Arizona.

Rates  
Employee Only $6.34 per month
Employee + Family $17.18 per month
   
   
*Contact lenses allowance takes the place of spectacle lenses and a frame for that plan period.
     

Contact Information:
Call 1-800-828-9341

Download a PDF of
the new vision care
brochure for the state
of Arizona.

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