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Active Lifestyle Vision Plan

 

In-Network Benefit Highlights:

  Plan Pays
  Copay Frequency
For individuals with effective dates between January 1st, 2016 and December 31st, 2017  
WellVision exam—focuses on eyes and overall wellness $10 Annual
Prescription Glasses and Lenses
Frames—$150 allowance; 20 percent savings on amount over allowance $25 Annual
Lenses—single, lined bifocal and trifocal, polycarbonate for dependent children
Contacts (instead of glasses)—$150 allowance; copay does not apply. ontact lens exam (evaluation and fitting)

Note: That the Vision benefit overview represents coverage for In-Network doctors ONLY. For Out-Of-Network information please contact your local sales representative.

 


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Underwritten by Renaissance Life & Health Insurance Company of America, Indianapolis, IN and in New York by Renaissance Health Insurance Company of New York, New York, NY. Each company has sole financial responsibility for its own products. Products and services referred to are not available in all states and jurisdictions.

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