Standard Plan
Individual Plan
Savings & Cost comparison

Standard Plan Summary

Service Elite Plan Premium Plan Custom Plan
Provider Network Over 1,000 Board-certified Network Practitioners in California
Employer-paid Plan Option Minimum of 6 enrolled employees Minimum of 6 enrolled employees Minimum of 6 enrolled employees
Voluntary Plan Option Minimum of 12 enrolled employees Minimum of 12 enrolled employees Minimum of 12 enrolled employees
Choice of Copays Yes Yes Yes
Comprehensive Eye Examination* Covered Covered Covered
Eye Exam/Lens/Frame Frequency 12/12/12 12/12/24 24/24/24
Basic Lenses* Covered Covered Covered
Discounts on Non-covered Lenses and Lens Options 20% Discount off U&C 20% Discount off U&C 20% Discount off U&C
Progressive Lenses* Available as an enhancement/ buy-up to plan Available as an enhancement/ buy-up to plan Available as an enhancement/ buy-up to plan
Frames* $120 retail allowance with overage at 25% discount $120 retail allowance with overage at 25% discount $120 retail allowance with overage at 25% discount
Discounts on 2nd pair of glasses or designer, non-Rx sunglasses 20% off 20% off 20% off
Contact Lenses Evaluation & Fitting-Medically necessary Standard Fit: Covered
Complicated Fit: up to $80 covered; overage at 25% discount
Standard Fit: Covered
Complicated Fit: up to $70 covered; overage at 25% discount
Standard Fit: Covered
Complicated Fit: up to $60 covered; overage at 25% discount
Contact Lenses Materials & Fitting-Medically necessary (in lieu of frame & lenses) $170 Allowance; overage at 15% discount $160 Allowance; overage at 15% discount $150 Allowance; overage at 15% discount

* Subject to Copay