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PROGRAM BENEFITS & DESIGN
The following is a
description of various vision plans
that can be selected for your VHPO
Program. Many options are available
so that you can design a VHPO Option
plan that best meets your group’s
needs.
Classic Plan
-
Eye Exam for
determination of refractive
state, Frames with Single Vision
Lenses, Bifocal Lenses or
Trifocal Lenses
-
Frame as
requested, $25, $50 or $75
-
Additional
Coverage as requested
Select Plan
-
Eye Exam for
determination of refractive
state, Frames with Single Vision
Lenses, Bifocal Lenses or
Trifocal Lenses, Contact Lenses,
Cataract Single Vision, Cataract
Bifocal Lenses or Cataract
Contact Lenses (External Use
Only)
-
Frame as
requested, $25, $50 or $75
-
Additional
Coverage as requested
Royal Plan
-
Eye Exam for
determination of refractive
state, Frames with Single Vision
Lenses, Bifocal Lenses or
Trifocal Lenses, Contact Lenses,
Cataract Single Vision, Cataract
Bifocal Lenses or Cataract
Contact Lenses (External Use
Only)
-
Frame - $75.00
-
Additional
Coverage all included
Additional Coverage
SURGICAL RIDER
For an additional
premium for those employers with
fifty (50) employees or more, VHPO
can provide, on a reimbursement
method, the following surgical
procedure coverage.
-
RADIAL/ASTIGMATIC KERATOTOMY
(RK)
-
IN-SITU
KERATOTOMILEUSIS (LASIK)
-
AUTOMATED
LAMELLAR KERATOTOMY (ALK)
Payment of the
Surgical Procedure will be on a
Reimbursement Method Only
(Indemnity) within the maximum
options of $500, $750 or $1,000,
once (1) in a lifetime per person
per eye.
Vision benefits and
services provided under this Plan
are those necessary and customarily
rendered in accordance with the
standards of generally accepted
VISION practice.
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