Distinctive Plan for Day or Night
The Ruby plan is the right fit if you need an eye exam, eyeglasses and sunglasses.
Plan Details
Rate: $430
Coverage Period: 12 months
Exam Copay: $20
Material Copay: $20 (per pair)
EYE EXAM
Vision Care Exam: Covered in full after applicable $20 copay
FRAME BENEFITS
Eyeglass Frames: $50 Wholesale Allowance
Sunglass Frames: $50 Wholesale Allowance
CONTACT LENS BENEFITS
(In lieu of all other materials and services)
Elective Materials: $130 Allowance
Elective Contact Lens Fitting and Evaluation: 15% Discount
Pair 1
EYEGLASS LENS BENEFITS (CR-39 standard plastic or glass)
Bifocal Lens: Covered in full after applicable $20 copay
Blended Bifocal Lens: Covered in full after applicable $20 copay
Digital/Elite Progressive: Partially-Covered after applicable $20 copay
Lenticular Lens: Covered in full after applicable $20 copay
Premium Progressive Lens: Partially-Covered after applicable $20 copay
Single Vision Lens: Covered in full after applicable $20 copay
Standard Progressive Lens: Covered in full after applicable $20 copay
Trifocal Lens: Covered in full after applicable $20 copay
EYEGLASS LENS OPTIONS AND TREATMENTS
Anti-Reflective 1: Not Covered
Photochromic: Not Covered
Polarized: Not Covered
Polycarbonate: Covered in full for persons up to age 19
Solid or Gradient Tint: Not Covered
Standard Scratch Coating: Covered in full
UV Coating: Not Covered
Visual Fatigue: Covered in full
Pair 2
SUNGLASS LENS BENEFITS (CR-39 standard plastic or glass)
Bifocal Lens: Covered in full after applicable $20 copay
Blended Bifocal Lens: Covered in full after applicable $20 copay
Digital/Elite Progressive: Partially-Covered after applicable $20 copay
Lenticular Lens: Covered in full after applicable $20 copay
Premium Progressive Lens: Partially-Covered after applicable $20 copay
Single Vision Lens: Covered in full after applicable $20 copay
Standard Progressive Lens: Covered in full after applicable $20 copay
Trifocal Lens: Covered in full after applicable $20 copay
SUNGLASS LENS OPTIONS AND TREATMENTS
Anti-Reflective 1: Covered in full
Photochromic: Covered in full
Polarized: Covered in full
Polycarbonate: Covered in full for persons up to age 19
Solid or Gradient Tint: Covered in full
Standard Scratch Coating: Covered in full
UV Coating: Covered in full
Visual Fatigue: Covered in full
