Allegany College of Maryland Benefits Guide 2017-2018

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About Your Vision Coverage
Allegany College of Maryland vision coverage is also
included as part of the medical insurance and cannot
be selected on its own. Coverage is provided by Davis
Vision. Participants can receive an examination every
12 months and lenses and frames every 24 months.
Participants have the option of receiving care from a
network or out-of-network provider.
Covered Vision Services
Find A Provider:
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USE Client Code : 2299
Vision benefits are just as important as medical and dental
coverage. Eye exams can identify both vision and major
medical conditions such as diabetes and hypertension.
Early detection for glaucoma, cataracts and astigmatism is
also important.
Vision Insurance
To Fit Your Needs
Vision Benefits
Description
In-Network & Out-of-
Network
Examination – every 12
months
Covered %100 up to $50
max benefit payable after
$15 copay
Lenses – 24 months
Single Vision $50 max benefit payable
Bifocal $70 max benefit payable
Trifocal $90 max benefit payable
Double Bifocal $100 max benefit payable
Cataract $160 max benefit payable
Frames – 24 months $30 max benefit payable
Contact Lenses – 24
months
Medically Necessary Covered in full with prior
approval
Bifocal Cosmetic (in place
of frames & lenses)
$100 max benefit payable