DC 37 Health & Security Plan Benefits
DC 37 Optical Fee Schedule
Optical Fee Schedule effective November 8, 2002.
|Single Vision Lenses (Standard lenses)||$9.00|
|Bifocal Lenses (Standard lenses)||$16.00|
|Trifocal Lenses (Standard lenses)||$20.00|
|Progressive Lenses (Standard lenses)||$16.00|
|Plastic Aspheric Single Vision Cataract Lenses||$40.00|
|Plastic Aspheric Bifocal Cataract Lenses||$65.00|
|Cataract Contact Lenses*||$45.00|
*If you are Medicare eligible, you must use Medicare as the primary (first) carrier when you submit a claim for cataract lenses. In addition, if you use the Vision Center for this service, a claim must be completed and submitted for processing to Medicare.