|
 |
|||
 |
|||
| 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 |
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 |
As often as you wish |
|
|||
| 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 |
|
|||
| View Details | View Details | View Details | |
| Signup Now | Signup Now | Signup Now | |
|
|||
QualSight Preferred
LASIK Pricing
