Quick facts
Exam with Dilation Copay (In-Network)
$10 Copay
Frame Allowance
See Member Cost Schedules
Exam with Dilation Reimbursement (Out-of-Network)
Up to $35
Contact Lens Allowance - Conventional
$0 Copay; $150 Allowance, 15% off balance over $150
Contact Lens Allowance - Disposable
$0 Copay; $150 Allowance, plus balance over $150
Contact Lens Allowance - Medically Necessary
$0 Copay, Paid-in-Full
Single Vision Lens Copay
$20 Copay
Bifocal Lens Copay
$20 Copay
More details (6)
Trifocal Lens Copay
$20 Copay
Lenticular Lens Copay
$20 Copay
Examination Frequency
Once every 12 months
Frame Frequency
Once every 24 months
Lens Frequency
Once every 12 months
Contact Lens Frequency
Once every 12 months
Carrier contact
1-866-299-1358 — member services
Group number: VC-19/VC-20
Your member ID card: check the carrier website or app, or ask HR for a copy.
Plan documents
Confirm details with your carrier for current plan information.