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14

Odessa R-VII School District 2017

Vision Plan

The vision benefits are offered through Superior Vision.

To identify participating providers, you may go to

www.superiorvision.com

or 1-(800)-507-3800.

Superior Vision

Copays

- Exams

- Materials

- Contact Lens Fitting Fee

$10

$25

$15

Frequency Limitations

- Exams

- Lenses

- Frames

- Contact Lens

Once every 12 months

Once every 12 months

Once every 24 months

Once every 12 months

Reimbursement Schedule

- Glass Lenses

- Single

- Bifocal

- Trifocal

- Contact Lenses

- Medically Necessary

- Elective

- Frames Standard

100%

100%

100%

100%

Up to $120

Up to $130

Vision Plan Cost

Employee Cost Per Month

Employee Only

$8.93

Employee + One

$15.17

Employee + Family

$25.19

This is only a summary. Please refer to your specific book/certificate for specific details. If a conflict arises, the booklet/certificate will govern in all cases.

Vision Insurance video for better consumerism:

Odessa School District Superior Vision Plan Why Superior Vision Member Portal Webinar What makes Us Superior Find an In- Network Provider