This benefit provides additional coverage to members diagnosed with the following conditions: Diabetes, Hypertension, Kidney Disease, Dementia, Pregnancy, or HNCRT (Head and Neck Cancer with Radiation Therapy).
In-Network Only — High Option and Standard Option: One additional vision care exam is covered in full every calendar year.
If the prescription changes, one additional pair of lenses is covered in full for High Option members, with a $10 copay for Standard Option members. The prescription must have changed by at least 0.5 diopters, the seg height changed by at least 5.0 millimeters, or the lens type changed (e.g., from single vision to bifocal). Pre-authorization may be required.