Benefit VIP Premier M-Plus Best Choice
Vision Benefits
Annual Deductible $25 per person None None
Eye Exam Every 12 months
100% covered
As often as you wish
$36 co-pay
As often as you wish
$36 co-pay
Lenses Every 12 months
100% covered

As often as you wish
with co-pay

As often as you wish
with co-pay
Frames Every 12 months
100% covered
As often as you wish
25% discount
As often as you wish
25% discount
Cosmetic Contact Lenses

Every 12 months in addition to the basic benefit or, if desired, in lieu of the basic benefit, $100 applies to the doctor's usual and customary package fee which includes eye examination, fitting and contact lenses.

As often as you wish
with co-pay

As often as you wish
with co-pay

Medically Necessary Contact Lenses Every 12 months
A $250 benefit after co-pay
Available as custom contact lenses at 20% off. Available as custom contact lenses at 20% off.
Dental Benefits
Office Visit N/A N/A $5 co-pay
Dental Exam N/A N/A No Charge
X-rays N/A N/A No Charge
Cleaning N/A N/A No Charge
Floride Treatment N/A N/A No Charge - to age 14
1 or 2 Surface Filling N/A N/A $10 co-pay
Bi Rooted Canal N/A N/A $150 without restoration
Orthodontia N/A N/A Covered
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