|
Benefits
|
VBA Participating Doctor
(14,000 Nationwide) Amount covered (Less Copayment*)
|
Non-Participating Doctor
Amount Reimbursed (Zero Copayment)
|
| Vision Exam |
100% |
$35.00 |
| Clear Standard Lenses (Pair): |
|
|
| Single vision |
100% |
$30.00 |
| Bifocal |
100% |
$40.00 |
| Blended "No-line" Bifocal |
100% |
$40.00 |
| Trifocal |
100% |
$60.00 |
| Progressives***** |
100% |
$60.00 |
| 1 Yr Scratch Protection |
100% |
$80.00 |
| Polycarbonate Lens Material**** |
100% |
N/A |
| Frame |
100% |
N/A |
| --------------------OR------------------------------- |
|
|
| Contacts (includes the vision exam allowance) |
|
|
| Selected in Lieu of Glasses |
$125.00 |
$125.00 |
| Medically Required |
UCR** |
$250.00 |
| Lasor Vision Correction: Discount off of prevailing fees at TLC Laser Eye Centers |
| Hearing Aid Discount: Available through VBA's TruHearing Program |
|
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