Select Discount Vision Plan

COVERAGE	IN-NETWORK BENEFITS
COMPREHENSIVE EYE EXAMINATION	U&C less 10% or $45, whichever is less
EYEGLASS LENSES (added to the discounted EYEGLASS FRAME)	Single $35 Bifocal (FT 28-35, round) $55 Trifocal (7x28, 8x35) $85 Lenticular U&C less
EYEGLASS LENS OPTIONS (added to the discount EYEGLASS FRAME)	Ultra Violet Coating $12 Scratch Coating $12 Anti-Reflective Coating-Basic $36 Polycarbonate $30 Polarized-Single Vision $36 Polarized-Bifocal $54 All Other and Sunwear Accessories U&C less 10%
EYEGLASS FRAMES	U&C less 15%
CONTACT LENS EXAMINATION	U&C less 10% or $85, whichever is less
CONTACT LENS Conventional / Disposable	U&C less 10% or 20%
CONTACT LENS Medically necessary	U&C less 10% or 20%
CONTACT LENS FITTING FEE	Included with Contact Lens Examination
LASER VISION CORRECTION (LASIK)	Discount off U&C

(Not an Insurance Product)

AEC.DMP.1000FS 04/07