County Benefits - Vision

  • Benefits
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    Service/Material Participating Non-Participating*
    Vision Examination:
    $5.00 Copayment Up to: $30.00 Retail Value
    Frame: Up to: $100.00 Retail Value Up to: $65.00 Retail Value
    Lenses: (Clear, Standard, Glass or Plastic)    
    Single Vision (per pair) Paid in full Up to: $25.00 Retail Value
    Bifocal (per pair) Paid in full Up to: $35.00 Retail Value
    Trifocal (per pair)** Paid in full Up to: $45.00 Retail Value
    Lenticular (per pair) Paid in full Up to: $80.00 Retail Value
    Contact Lenses:***    
    Elective Up to:$135.00 Up to: $100.00 Retail Value
    Medically Required Paid in full Up to: $150.00 Retail Value
    Non-covered Eyewear Discount 20% (Does not apply at Walmart Vision Center  
    Frequency:    
    Vision Examination Once Each 12 Months
    Frame Once Each 12 Months
    Lenses Once Each 12 Months
    Contact Lenses Once Each 12 Months
  • Rates
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  • Rates Bi-Monthly
    Voluntary Participation  
    Employee: $3.36
    Employee + 1 : $5.38
    Family: $8.74