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 ...
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OPTICAL CARE SERVICES. The eye wear materials described in this Rider.
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Related to OPTICAL CARE SERVICES

  • Vision Care Services For purposes of coordination of benefits, vision care services covered under other plans are not considered an allowable expense, as defined in the Coordination of Benefits and Subrogation in Section 7.

  • Software Services If elected by Customer, the following Software Services will be made available for Customer’s use. 2.1. Core HR Software Service is a system of interactive web pages to assist Customer in its human resource related recordkeeping and reporting. Customer shall ensure the accuracy of its Customer Data. The HR Software Services shall function in accordance with the Documentation, as may be amended from time to time, and provide features to aid Customer with its compliance with federal and state laws and regulations applicable to Human Resources (except as stated otherwise in the Documentation). 2.2. Recruiting Software Service is a system of interactive web pages to assist Customer in posting job requisitions, storing candidates, recording job applications, and the related recordkeeping and reporting. Customer shall ensure the accuracy of its Customer Data. The Recruiting Software Service shall function in accordance with the Documentation which may be amended from time to time.

  • Hospice Services Services are available for a Member whose Attending Physician has determined the Member's illness will result in a remaining life span of six months or less.

  • Core Services The Company agrees to provide to the Municipality the Core Services set forth in Schedule “A”. The Company and the Municipality may amend Schedule “A” from time to time upon mutual agreement.

  • Telemedicine Services This plan covers clinically appropriate telemedicine services when the service is provided via remote access through an on-line service or other interactive audio and video telecommunications system in accordance with R.I. General Law § 27-81-1. Clinically appropriate telemedicine services may be obtained from a network provider, and from our designated telemedicine service provider. When you seek telemedicine services from our designated telemedicine service provider, the amount you pay is listed in the Summary of Medical Benefits. When you receive a covered healthcare service from a network provider via remote access, the amount you pay depends on the covered healthcare service you receive, as indicated in the Summary of Medical Benefits. For information about telemedicine services, our designated telemedicine service provider, and how to access telemedicine services, please visit our website or contact our Customer Service Department.