Benefits
DC 37 Health & Security Plan Benefits
DC 37 Optical Fee Schedule
Optical Fee Schedule effective November 8, 2002.
DESCRIPTION | FEE |
---|---|
Eye Examination | $6.00 |
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 |
Frame | $5.00 |
Plastic Aspheric Single Vision Cataract Lenses | $40.00 |
Plastic Aspheric Bifocal Cataract Lenses | $65.00 |
Contact Lenses | $14.00 |
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.