Common use of Vision Benefit Clause in Contracts

Vision Benefit. At no cost to the District, a vision benefit will be provided under the PPO plan. Under the plan, the plan participant can go to a licensed practitioner for a visual examination. If this practitioner prescribed corrective lenses, then there is a vision hardware benefit available. It is offered on an in and out-of-network basis. In-network: Plan pays 100% up to a $120 retail allowance for frames (or $50 wholesale). One pair of standard single vision or standard multi-focal lenses is covered-in-full. Contact lenses are in lieu of frames and lenses benefit. Contacts are covered up to four (4) boxes if disposable lenses or a $150 allowance (the $150 allowance is applied to the fitting/evaluation fee AND towards the purchase of contact lenses (Contracted vision providers.) Out-of-network: If you choose an out-of-network provider, you will be reimbursed up to: The vision benefit is offered only to those regular employees and their eligible dependents who enroll in the PPO plan. The plan participant will pay any additional costs, if any. Kaiser Optical Services: Eyewear purchased from Plan Optical Sales Offices every 24 months at a maximum allowance of $175. The Kaiser Vision Benefit is a rider to the medical plan, and requires a $10 co-payment for the examination by a Kaiser optometrist. The Kaiser EOC does not limit the number of these visits. The $10 co payment is for every plan participant.