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Vision Benefits
Description
NVA
In-Network Reimbursement Amounts
Examination
Once every 12 months Covered 100% after $10 copay Up to $35
Lenses
Once every 12 months
Standard Glass or Plastic
Covered at 100%
Single Vision up to $25
Bifocal up to $45
Trifocal up to $75
Lenticular up to $75
Frame
Once every 12 months
Covered up to $100
Retail Allowance
(20% discount of remaining
balance over $100 allowance)
Up to $45
Contact Lenses
Once every 12 months
(in Lieu of Lenses/Frames
Elective
Medically Necessary
Evaluation & Fitting
Covered to $100 Retail
Allowance (15% discount
(conventional) or 10%
discount (disposable) off
remaining balance over $100
Covered at 100%
Covered at 100%
After $20 daily wear / $30
extended wear copay
Up to $100
$210
Daily Wear: $20
Extended Wear: $30
Vision
NCRC offers Vision insurance through National Vision Administrators (NVA). Services
include both in-network and out-of-network benefits. Annual vision benefits include
one vision exam, frames and discounted lenses. To locate a participating provider visit
r call 866-672-7723.
Per Month Cost Employee Only Employee + Spouse Employee +
Child(ren)
Employee + Spouse
+ Child(ren)
NVA Vision $5.91 $10.34 $10.34 $15.29