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ASEBP Benefit Plan SummaryVision Care | Benefit Details (Online Document) | Vision Care Benefit Details 2010 | | Submitting Claims | | Extended Health Care /Vision Claim Form | | Coverage Summary | | Vision Care is designed to provide coverage of expenses incurred for vision care only. Depending on which plan you are enrolled in, covered persons can include:
- yourself
- your spouse and other dependents - for the purposes of this plan your spouse is considered a dependent
| Plan Options | | Vision Care Plan 1 |
- eye examinations (for people between the ages of 19 to 64), eyeglass frames, prescription sunglasses, repairs/maintenance and contact lens fitting fees, lenses and contact lenses and corrective eye surgery to a combined maximum of $150 every two years per covered person from date of service. Note: Eye examinations are limited to $50 per person per calendar year, which is then subtracted from your $150 plan maximum.
| | Vision Care Plan 2 |
- eye examinations (for people between the ages of 19 to 64), eyeglass frames, prescription sunglasses, repairs/maintenance and contact lens fitting fees, lenses and contact lenses and corrective eye surgery to a combined maximum of $250 every two years per covered person from date of service. Note: Eye examinations are limited to $50 per person per calendar year, which is then subtracted from your $250 plan maximum.
| | Vision Care Plan 3 |
- eye examinations (for people between the ages of 19 to 64), eyeglass frames, prescription sunglasses, repairs/maintenance and contact lens fitting fees,lenses and contact lenses and corrective eye surgery to a combined maximum of $350 every two years per covered person from date of service. Note: Eye examinations are limited to $50 per person per calendar year, which is then subtracted from your $350 plan maximum.
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