Vision Plan |
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Eligibility |
Anti-reflective lenses |
Designer frames |
Frames |
Lenses |
Mine Safety Glass Program |
Photosensitive lenses |
Oversized lenses |
Optional features |
Routine Examination |
Services covered by the Medical Plan |
Sunglasses |
Tinting |
Vision Training |
All beneficiaries eligible for a medical plan are eligible for the Vision Plan. |
Not covered. |
Not covered. |
CBF/1992 Benefit Plan – $14.00 per set
1993 Benefit Plan/Prefunded Benefit Plan – $33.13 per set Limited to 1 set of frames every 24 months. |
All services must be prescribed by a physician, optometrist or optician. Limited to one set of lenses every 24 months. New lenses are only covered if: The new prescription differs by an axis change fo 20 degrees or .50 diopter sphere or cylinder change. The lenses improve visual acuity by at least one line on the standard eye chart. |
Services or supplies provided by a Mine Safety Glass Program are not covered. |
Not covered. |
Not covered. |
Not covered. |
CBF/1992 Benefit Plan – $20.00 per exam. 1 exam every 24 months.
1993/Prefunded Benefit Plan – $46.75 per exam. 1 exam every 24 months. |
Not covered. |
Not covered. |
Rose tints No. 1 or No. 2 are covered if prescribed for medical reasons. All other tints are not covered. |
Not Covered |