2022 Employee Benefit Guide This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations, and exclusions set forth in each insurance carrier or provider’s contract. Plan Features IN NETWORK Vision Exam Lenses Single Bifocal Trifocal Progressive Frames Elective Contact Lenses Medically Necessary Contact Lenses Frequency (Months) Exam Lenses Frames Contacts OUT OF NETWORK Vision Exam Lenses Single Bifocal Trifocal Progressive Frames Elective Contact Lenses Medically Necessary Contact Lenses SUMMARY OF COVERAGE Benefits f or 2022 Vision Coverage 10
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