COVERED SERVICE BENEFIT Conventional or disposable contact lenses in lieu of eyeglasses (limited to one pair per Year for conventional contact lenses or up 100% to a 12-month supply of disposable contact lenses per Year) Medically Necessary contact lenses (limited to one pair per Year for conventional contact lenses or up to a 12-month supply of 100% disposable contact lenses per Year, prior authorization required) Low vision aids (limited to one device per Year, prior authorization 100% required) EWCLGDED1983ACT0124 6 WAPEBB-CL-ACT