Visionworks/Davis Vision Optical BeneFit
Benefits provided by Vision Works/Davis Vision is an In-Network only plan and are subject to applicable co-payments. With Davis Vision you have access to licensed providers in both private practice and retail locations who are extensively reviewed and credentialed to ensure stringent standards for quality and service is maintained.

What are my benefits?
The Davis Vision Program features an in-network benefit that offers the opportunity to obtain services for an eye examination with dilation, as professionally indicated, as well as obtain eyeglasses or contact lenses at fixed copayments.

• Eye examination – (including dilation as professionally indicated) is covered at a par-ticipating network provider with the applicable copayment. basic copayments

In-Network providers within New York State:
$25 for exam
$0 for glasses

In-Network providers outside of New York State:
$50 for exam
$15 for glasses

• Spectacle lenses (one pair) – including single vision, bifocal, or trifocal lenses, in any prescription range with applicable copayment.
• Frames – you may choose any Fashion, Designer or Premier level frame from the Visionworks/Davis Vision collection, covered in full. If the member selects a frame other than one provided by the plan, a credit of $65 will be applied toward the frame purchase.
• Contact lenses (in lieu of eyeglasses) – Every 12 months you may select contact lenses. Any contact lenses from Davis Vision's Contact Lens Collection will be covered in full per the number indicated below, your evaluation, fitting and follow up care will also be covered. he plan covers most popular types of contact lenses including standard, soft, daily-wear (available with no co-payment Contact Lens Collection (includes evaluation, fitting and follow up):