OPTICAL CARE SERVICES Clause Samples

OPTICAL CARE SERVICES a. Members may purchase the eye wear materials described in b., below, which shall be discounted as set forth in subsection c., below, only if such services are purchased from the Participating Vision Care Provider who rendered the routine eye examination as set forth in subsection 1.a. of the Benefits provisions, above, or If that Participating Vision Care Provider does not have dispensing facilities on his/her premises, then the Optical Care Services must be purchased from the Participating Vision Care Provider with whom the Participating Vision Care Provider who rendered the routine eye examination has made arrangements to dispense the Optical Care Services in his/her behalf. If the Member is enrolled in a Point of Service Plan, and the routine eye examination is rendered by a Non-Participating Vision Care Provider pursuant to the terms of this Rider, no Optical Care Services as set forth in subsection c., below, are available. b. Optical Care Services are: frames, lenses and lens options (including, but not limited to, progressive lenses, polycarbonate, scratch resistant coating, ultra-violet coating, anti- reflective coating, solid tint, gradient tint and photochromatic); soft and hard contact lenses and an initial disposable contact lens package; sunglasses (prescription and non- prescription); and replacement lenses. c. Discounts for Optical Care Services purchased from Participating Vision Care Providers are: Frames & Lenses 25% discount on the total purchase for purchases (other than sunglasses of $250 or less: 30% discount on the total purchase replacement lenses) for purchases over $250 Contact Lenses 25% discount on the total purchase price of contact lens for purchases of $250 or less; 30% discount on the total purchase price of contact lens for purchases over $250; 25% discount on professional fees for fittings, follow-up exams, etc.; provided if the Participating Vision Care Provider’s contact lens charge includes both the contact lenses and the fees for these professional services, and such charges exceed $250, then the 30% discount shall apply only to the charge allocated to the contact lenses and not to the fees for professional services. Replacement Lenses 25% discount on entire purchase And Sunglasses For the purposes of this Rider, the Agreement’s provisions related to Benefits, Exclusions & Limitations are amended to include the following: 1. The following vision examinations and services are excluded: a. Services, frames, and lenses ...