Exclusions and Limitations
Provider Type
- Physicians
- Participating Physician Groups (PPG)
The following are not covered:
- Two pair of glasses instead of bifocals
- Replacement of lenses, frames or contact lenses
- Medical or surgical treatment
- Orthoptics
- Vision training or supplemental testing
- Other insurance policies or service agreements
- Artistically painted non-prescription lenses
- Additional office visits for contact lens pathology
- Contact lens modification, polishing or cleaning
A full description of the vision benefit is included in the member's Evidence of Coverage (EOC).