Benefit

In-Network

Out-of-Network Plans

96 1A
96 1B

97 1A
97 1B

97 2A
97 2B

$10 copayment
per visit

Paid at up to $75 for exam and glasses or contact lenses every 2 years

$30 copayment for lenses and/or Designer selection frames within the Tower Collection

or

$150 credit toward non-plan frames

or

$25 copayment for standard, soft, daily wear contact lenses

or

$45 copayment for disposable/planned replacement lenses