Fully Insured Vision Plan Benefits for Retirees
| 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* | $150 Allowance | Once Every 12 Months |
| LASIK | $300 one-time/lifetime allowance | Click here to view your |
Avesis has hundreds of particpating |
||
| Rates | ||
| Retiree Only | $14.49 quaterly | |
| Retiree + One | $40.56 quaterly | |
| Retiree + Family | $50.58 quaterly | |
| *Contact lenses allowance takes the place of spectacle lenses and a frame for that plan period. | ||
