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Vision Plan - Northwest Benefit Network
October 1, 2005 - September 30, 2006 |
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Information provided is in summary
format. Any difference between the summary provided and
actual contract will be settled in favor of the contract.
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In-Network |
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Deductible |
N/A |
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Vision Exam - one exam/365 days* |
100% |
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Frames** - one pair/365 days* |
100%
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Lenses***-
one pair/365 days* |
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Single Vision lens: |
100% |
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Bifocal lens: |
100% |
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Trifocal lens: |
100% |
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Lenticular lens: |
100% |
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Blended Bifocal lens: |
100% |
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Contact Lenses:
(in lieu of lenses and frames) |
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Subnormal: |
100% |
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Elective: |
100% up
to $200
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*These times are
strictly enforced (i.e., to the day).
**100% coverage for
the frames selection covered by this plan, not all frames
***The cost of
basic lenses is covered in full. See your benefit
booklet for covered extras.
Disclaimer.
©1999-2008 Benecom, dba Instant Benefits Network,
Inc.®
All
Rights Reserved.
