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.
Vision Care Services. All vision services for Members are described in the Department’s Physicians, Laboratories, and Other Medical Professionals Provider Manual. The CONTRACTOR shall:
Vision Care Services. Eye exercises and visual training services. Lenses and/or frames and contact lenses unless specifically listed as a covered healthcare service. Providers Services performed by a provider who has been excluded or debarred from participation in federal programs, such as Medicare and Medicaid. To determine whether a provider has been excluded from a federal program, visit the U.S. Department of Human Services Office of Inspector General website (xxxxx://xxxxxxxxxx.xxx.xxx.xxx/) or the Excluded Parties List System website maintained by the U.S. General Services Administration (xxxxx://xxx.xxx.gov/). Services provided by facilities, dentists, physicians, surgeons, or other providers who are not legally qualified or licensed, according to relevant sections of Rhode Island Law or other governing bodies, or who have not met our credentialing requirements. Services provided by a non-network provider, unless listed as covered in the Summary of Medical Benefits. Services provided by naturopaths, homeopaths, or Christian Science practitioners.
Vision Care Services. Routine Vision Exam One routine vision exam per member per plan year $0 20% - After deductible One routine vision exam when performed to treat members with diabetes. $0 20% - After deductible Non-routine vision exam $0 20% - After deductible Covered Benefits - See Covered Healthcare Services for additional benefit limits and details. Network Providers Non-network Providers (*) Preauthorization may be required for this service. Please see Preauthorization in Section 5 for more information. You Pay You Pay Pediatric Vision Care for members under age 19: See Vision Services in Section 3 for benefit limits and details. These services only apply to an enrolled member under the age of 19: Prescription glasses - Frame and lenses 0% Not Covered Contact lens (in lieu of prescription glasses) 0% Not Covered Vision hardware for enrolled members aged 19 and older. Not Covered Not Covered SUMMARY OF PHARMACY BENEFITS The Summary of Pharmacy Benefits only applies to prescription drugs purchased at a retail, mail order, or specialty, pharmacy. For information about our pharmacy network, visit our website or call our Customer Service Department.
Vision Care Services. Eye exercises and visual training services. Lenses and/or frames and contact lenses for members aged nineteen (19) and older. Vision hardware purchased from a non-participating provider. Non-collection vision hardware. Providers Services performed by a provider who has been excluded or debarred from participation in federal programs, such as Medicare and Medicaid. To determine whether a provider has been excluded from a federal program, visit the U.S. Department of Human Services Office of Inspector General website (xxxxx://xxxxxxxxxx.xxx.xxx.xxx/) or the Excluded Parties List System website maintained by the U.S. General Services Administration (xxxxx://xxx.xxx.gov/). Services provided by facilities, dentists, physicians, surgeons, or other providers who are not legally qualified or licensed, according to relevant sections of Rhode Island Law or other governing bodies, or who have not met our credentialing requirements. Services provided by a non-participating provider, unless listed as covered in the Summary of Medical Benefits. Services provided by naturopaths, homeopaths, or Christian Science practitioners.
Vision Care Services. Routine Vision Exam One routine vision exam per member per plan year $0 Not Covered One routine vision exam when performed to treat members with diabetes. $0 Not Covered Routine Vision Exam $0 Not Covered SUMMARY OF PHARMACY BENEFITS The Summary of Pharmacy Benefits only applies to prescription drugs purchased at a retail, mail order, or specialty, pharmacy. For information about our pharmacy network, visit our website or call our Customer Service Department.
Vision Care Services. The Provider shall:
Vision Care Services. The routine eye examination described in this Rider.
Vision Care Services a. One routine eye examination per Member per calendar year, rendered by a Participating Vision Care Provider who is an ophthalmologist or optometrist, subject to a ten dollar ($10.00) Copayment.
Vision Care Services. Routine Vision Exam One routine vision exam per member per plan year $0 20% - After deductible One routine vision exam when performed to treat members with diabetes. $0 20% - After deductible Non-routine vision exam $0 20% - After deductible Pediatric Vision Care for members under age 19: See Vision Services in Section 3 for benefit limits and details. These services only apply to an enrolled member under the age of 19: Prescription glasses - Frame and lenses 0% Not Covered Contact lens (in lieu of prescription glasses) 0% Not Covered Vision hardware for enrolled members aged 19 and older. Not Covered Not Covered
