Vision Benefits
In-Network |
Out-of-Network |
|
|---|---|---|
Exam with dilation as necessary |
$10 Copay |
Not Covered |
Material Co-pay |
$25 Copay |
Not Covered |
Frames |
100% up to $130 |
Up to $45 |
Lenses |
Up to $125 |
Up to $125 |
Single Vision |
100% |
Up to $20 |
Bifocal |
100% |
Up to $40 |
Trifocal |
100% |
Up to $80 |
Lenticular |
100% |
Up to $80 |
Contact lens |
||
Contacts - Conventional |
Up to $125 |
Up to $125 |
Contacts - Medically necessary |
100% |
Up to $210 |
Monthly Rates |
|
|---|---|
Employee |
$5.26 |
Employee + Spouse |
$9.97 |
Employee + Child(ren) |
$11.70 |
Family |
$16.46 |
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https://lincolnfinancial.yourvisionplan.com/MWP/Landing
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