Vision plan coverage details

Review Advantage Vision coverage and costs

Avesis Vision plans	Advantage Vision care
Frequency and copay
Examination frequency	Once every 12 months
Lenses frequency	Once every 12 months
Frame frequency	Once every 12 months
Examination copay	$10 copay
Optical materials copay - lenses and frames combined	$0
Standard spectacle lenses
Single vision lenses	100% covered
Bifocal lenses	100% covered
Trifocal lenses	100% covered
Lenticular lenses	100% covered
Standard progressive lenses	Uniform discounted fee schedule
Selected lens tints and coatings	Uniform discounted fee schedule
Frame
Frame	Up to $150 retail value - $50 wholesale cost allowance
Contact Lenses - in lieu of frame-spectacle lenses
Elective	10% to 20% discount and $150 allowance
Medically necessary	Covered in full
Lasik-PRK
Lasik-PRK	Up to $750

Avesis Vision Plans	Advantage Vision Care
Frequency and copay
Examination frequency	Once every 12 months
Lenses frequency	Once every 12 months
Frame frequency	Once every 12 months
Examination	Up to $50 reimbursement
Standard spectacle lenses
Single vision lenses	Up to $33 reimbursement
Bifocal lenses	Up to $50 reimbursement
Trifocal lenses	Up to $60 reimbursement
Lenticular lenses	Up to $110 reimbursement
Standard progressive lenses	Up to $60 reimbursement
Selected lens tints and coatings	No benefit
Frame
Frame	Up to $50 reimbursement
Contact Lenses - in lieu of frame/spectacle lenses
Elective	Up to $150 reimbursement
Medically necessary	Up to $300 reimbursement
Lasik-PRK
Lasik-PRK	Up to $750 reimbursement
International coverage	Covered as out-of-network. Reimbursed based on the Avesis reimbursement schedule.