VISION PLAN OF AMERICA

Guidelines for Contact Lens Fitting

•  It appears under the new State Law ( Legislative Counsel's Digest AB 2020) the provider must release contact lens prescription for soft contact lenses (exceptions: custom lens, specialty lenses, and RGP lenses).

•  Under the benefit plans offered by Vision Plan of America (Plans A, B, C), the contact lens benefit applies to the doctor's annual package fee (examination, fitting, follow-up, and contact lenses). It is in the best interest of the patient to receive a complete eye examination as opposed to the fitting of new contact lenses from an old prescription or an eyeglass prescription.

•  The contact lens portion of the benefit was designed to allow the member to access care from the primary eye care provider and allow them the benefit contact lenses at a greatly reduced cost.

•  What happens if a member comes in with a valid prescription and wants to purchase contact lenses only?

$100 applies to the annual contact lens supply purchase, only with a valid contact lens prescription or, if a regular eyeglass prescription is prescribed a fitting fee may apply. The $100 applies toward the doctor's annual lens supply fee. i.e. a supply of 2 week disposable contact lenses = 8 boxes (6 lenses each box), etc, as an example of an annual supply.