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Vision Summary of Benefits: Administrative

ODS Vision Plan

 

Coverage

Plan Maximum

$450.00

Routine Eye Exam (once per plan year)

100%

Lenses (once per plan year – one pair of lenses or contacts)

  • Single Vision
  • Bifocal
  • Lenticulat
  • Trifocal

100%

Contact Lenses (once per plan year – contacts or one pair of lenses)

  • Conventional
  • Disposable

100%

Frames

  • Less than age 17 -once per plan year
  • 17 and older -once every two plan years

100%

Exclusions and Limitations for ODS Vision Plans

A complete list of exclusions and limitations can be found at ODS Vision Plan 3 Summary.